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S618
S618 – Resection of scrotum
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Resection of the scrotum. The '#' prefix indicates that when performed in a hospital, the premises, equipment, supplies, and personnel used to perform all elements of the service are funded by the hospital global budget. ()
When to Use
- Use S618 for the surgical excision of redundant or diseased scrotal tissue, such as in cases of severe scrotal lymphedema or post-traumatic tissue loss.
- Select this code when the primary procedure is the resection of the scrotum itself, rather than procedures focused on the contents (e.g., orchiectomy S612 or hydrocele repair S614).
Common Pitfalls
- Billing S618 in conjunction with other scrotal procedures like S614 (hydrocele) or S612 (orchiectomy) without clear documentation of separate, distinct incisions or pathology, which may trigger a 'duplicate service' or 'incidental procedure' rejection.
- Failing to recognize that S618 is not on the pre-approved list for a second surgical assistant, meaning any claim for a second assistant will be automatically rejected without prior authorization and a detailed letter of medical necessity.
Billing Tips
- If performing S618 alongside a more complex procedure, ensure the operative report explicitly details the separate anatomical work performed to justify billing both codes without a reduction in payment.
Provider Fee$231.35
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
Effective: April 1, 2026
Category
U. Male Genital Surgical Procedures
Subcategory
MALE GENITAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Male Genital Surgical Procedures
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