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S651

S651Prostatectomy - radical

OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits

Radical retropubic prostatectomy, performed with or without the removal of bladder stones. Per note on , payment for prostatectomy codes S650 and S651 does not include investigative cystoscopy but does include vasectomy when rendered. Payment for S651 also includes S519 (plastic repair of bladder neck) and/or S636 (vesiculectomy) when rendered during the same operative session.

When to Use

  • Use S651 for a radical retropubic prostatectomy where a concurrent vesiculectomy (S636) or plastic repair of the bladder neck (S519) is performed.
  • Use S651 when a vasectomy is performed as part of the radical prostatectomy procedure, as it is considered included in the fee.

Common Pitfalls

  • Billing S519 or S636 as separate line items is a common error that will result in a rejection, as these are explicitly included in the S651 fee.
  • Failing to bill an investigative cystoscopy separately when performed; unlike the prostatectomy itself, the cystoscopy is not included and should be claimed using the appropriate Z-code.

Billing Tips

  • Always apply the 15% age premium if the patient is 65 years or older, as this is a surgical procedure eligible for the age-based increase.
Provider Fee$1,174.70
Surgical Assistant Fee$77.46
Anaesthetist Fee$159.60
Non-Anaesthetist Fee$159.60

Effective: April 1, 2026

Category

U. Male Genital Surgical Procedures

Subcategory

MALE GENITAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Male Genital Surgical Procedures

Sex Restriction

Male

Prostatectomy (S645-S651) does not include investigative cystoscopy but includes vasectomy when rendered.

S651 includes S519 - plastic repair of bladder neck when rendered and/or S636 - vesiculectomy when rendered.

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