S598 – Orchidectomy - unilateral, radical for malignancy
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Radical orchidectomy for malignancy, unilateral, is a surgical procedure involving the removal of one testicle along with the spermatic cord up to the internal inguinal ring. This procedure is typically performed for testicular cancer. It is payable as a surgical procedure (suffix A), with additional fees for a surgical assistant (suffix B) and anaesthesiologist (suffix C). The assistant fee is calculated based on 6 basic units plus time units, and the anaesthetist fee is based on 7 basic units plus time units.
When to Use
- Use S598 specifically for the radical removal of the testicle and spermatic cord when a confirmed or highly suspected malignancy is the primary indication.
- Select S598 instead of S589 (simple orchidectomy) when the surgical approach requires high ligation of the spermatic cord at the internal inguinal ring for cancer management.
Common Pitfalls
- Billing S596 (testicular prosthesis) alongside S598 will result in a rejection, as the prosthesis is considered inclusive or restricted when performed during a radical orchidectomy.
- Submitting S598 for a benign condition like torsion or chronic pain is an audit risk; use S589 for non-malignant indications.
Billing Tips
- Always append the E834 fee code to your claim if a testicular prosthesis is inserted during the S598 procedure to ensure you receive the additional $50.00 payment.
Effective: April 1, 2026
U. Male Genital Surgical Procedures
MALE GENITAL SURGICAL PROCEDURES
Surgical
Male Genital Surgical Procedures
Male
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