All codes
S636
S636 – Vesiculectomy
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Vesiculectomy is the surgical excision of a seminal vesicle, typically performed for conditions such as seminal vesicle obstruction, cysts, or cancer. The procedure involves removing one or both seminal vesicles. This service is eligible for surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) fees. Assistant and anaesthesia fees are calculated based on basic units plus time units.
When to Use
- Use S636 for the surgical excision of a seminal vesicle due to obstruction, symptomatic cysts, or malignancy.
- Select this code when performing a unilateral or bilateral vesiculectomy, as the fee is not differentiated by side.
Common Pitfalls
- Do not bill S636 in conjunction with other major pelvic procedures unless the criteria for multiple procedure billing (typically 100% for the primary and 85% for the secondary) are met.
- Avoid billing S636 for simple aspiration or drainage of a seminal vesicle cyst, as these are distinct procedures with different codes.
Billing Tips
- Ensure the operative report clearly details the excision of the seminal vesicle to support the S636 claim during potential audits.
- If the procedure is performed on an emergency basis after hours, ensure the start time is documented to justify the application of E409 or E410 premiums.
Provider Fee$552.30
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
U. Male Genital Surgical Procedures
Subcategory
MALE GENITAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Male Genital Surgical Procedures
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