S602 – Epididymectomy - unilateral
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Performs a unilateral epididymectomy. This service is a surgical procedure listed in the Male Genital Surgical Procedures section of the Schedule. Fee Calculation: - Surgeon (Suffix A): The fee is the amount listed in the Schedule. - Assistant (Suffix B): The fee is calculated based on 6 base units plus time units as per the rules on and . - Anaesthetist (Suffix C): The fee is calculated based on 6 base units plus time units as per the rules on and .
When to Use
- Use S602 for the surgical excision of the epididymis when performed as a standalone unilateral procedure.
- Use S602 when the procedure is performed for chronic epididymitis, epididymal cysts, or sperm granulomas that have failed conservative management.
Common Pitfalls
- Do not bill S602 bilaterally; if both sides are performed, you must bill the second side using the appropriate bilateral reduction rule (usually 50% for the second procedure).
- Avoid billing S602 in conjunction with a vasectomy (S607) without clear clinical documentation, as payers may view the epididymectomy as an incidental component of the vasectomy procedure.
- Failure to document the specific laterality (left or right) in the claim submission will result in automatic rejection.
Billing Tips
- Ensure that if an assistant or anaesthetist is required, they bill their services using the 6 base units provided in the Schedule to ensure correct time-unit calculation.
Effective: April 1, 2026
U. Male Genital Surgical Procedures
MALE GENITAL SURGICAL PROCEDURES
Surgical
Male Genital Surgical Procedures
This surgical service has an associated 6 base units for an assistant (Asst) and 6 base units for anaesthesia (Anae). The total fee for assistant and anaesthesia services are calculated by adding their respective base units to the applicable time units.
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