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S644
S644 – Biopsy, perineal, open operation
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S644 represents an open surgical biopsy of the prostate gland performed via a perineal approach to obtain tissue for examination. This procedure is eligible for surgeon, assistant, and anaesthetist fees.
When to Use
- Use S644 specifically for an open surgical biopsy of the prostate via a perineal incision when a transrectal or transperineal needle biopsy is contraindicated or technically unfeasible.
- Select S644 when performing an open perineal exploration for tissue sampling where the primary intent is diagnostic biopsy rather than definitive resection or radical prostatectomy.
Common Pitfalls
- Do not bill S644 for needle-based biopsies; these are typically covered under diagnostic imaging or specific procedural codes, and billing S644 for a needle procedure will trigger a rejection.
- Avoid billing S644 in conjunction with more extensive prostate procedures like S645 or S646, as the biopsy is considered an integral component of the more comprehensive surgical intervention.
Billing Tips
- Ensure the operative report explicitly details the perineal approach to substantiate the use of S644 over other prostate biopsy codes.
- If an assistant is required for this open procedure, ensure the assistant's claim is linked to the S644 code to ensure proper calculation of the assistant's fee and any applicable after-hours premiums.
Provider Fee$215.80
Specialist Fee$0.00
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
Sex Restriction
Male
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