S654 – Endoscopic removal or destruction of prostatic tissue for residual or regrowth
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
This service covers the transurethral resection of the prostate (TURP) performed to address residual or regrown tissue following a prior prostatectomy. Payment for S654 is conditional upon the procedure being carried out by the same surgeon who performed the initial prostatectomy and occurring within one year of that surgery. As a surgical procedure, it includes all common and specific elements of surgical services as defined in the General Preamble.
When to Use
- Use S654 for the endoscopic resection of residual or regrown prostatic tissue specifically when performed by the same surgeon who completed the initial prostatectomy.
- Ensure the procedure occurs within the one-year window following the primary surgery to remain eligible for this specific code.
Common Pitfalls
- Billing S654 for a procedure performed by a different surgeon than the one who conducted the initial prostatectomy will result in a rejection.
- Attempting to bill surgical assistant services with S654 is a common error, as no assistant base units are assigned to this code in the Schedule of Benefits.
- Using S654 for procedures occurring more than one year after the initial surgery is incorrect; such cases should be billed under standard prostatectomy codes like S655.
Billing Tips
- Confirm the date of the initial prostatectomy in the patient record to ensure the one-year eligibility window is strictly met before submission.
- If the procedure is performed after-hours, verify eligibility for E409 or E410, as these premiums apply to S654 provided the service meets the non-elective criteria.
Effective: April 1, 2026
U. Male Genital Surgical Procedures
MALE GENITAL SURGICAL PROCEDURES
Surgical
Male Genital Surgical Procedures
Male
for residual or regrowth of tissue within one year of previous prostatectomy by same surgeon
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.