All codes
S639
S639 – Laser enucleation of the prostate including morcellation of prostatic tissue
OHIP Urology Code · Schedule of Benefits
Laser enucleation of the prostate including morcellation of prostatic tissue
When to Use
- Use S639 for primary laser enucleation procedures (e.g., HoLEP) that include the mandatory morcellation step.
- Select S639 over S655 when the surgical technique specifically involves enucleation and morcellation rather than simple endoscopic resection or vaporization.
Common Pitfalls
- Billing S639 for a repeat procedure performed by the same surgeon within 12 months, which must be billed as S654 to avoid rejection.
- Attempting to claim an assistant fee, which is explicitly ineligible for this endoscopic procedure under the Schedule of Benefits.
- Failing to account for the 85% rule when performing additional procedures under the same anesthesia, as S639 is subject to standard multiple procedure reduction rules.
Billing Tips
- Ensure the operative report explicitly details the morcellation of prostatic tissue to comply with the specific documentation requirement for this code.
- Apply E409 or E410 premiums to the base fee of $550.00 only when the procedure is non-elective and performed during the specified after-hours windows.
Provider Fee$550.00
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
Effective: April 1, 2026
Service Type
Male Genital Surgical Procedures
Code Classes
Surgery
Procedure includes morcellation of prostatic tissue.
Sex Restriction
Male
Assistant fee is not eligible for this endoscopic procedure.
S654 applies for residual or regrowth within one year by the same surgeon.
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