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S701
S701 – Repair of infibulation - resulting from female genital mutilation
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
This service covers the surgical repair of infibulation, which is a consequence of female genital mutilation. The procedure involves surgically dividing and reconstructing the vulvar area to restore normal anatomy and function.
When to Use
- Use S701 specifically for the surgical defibulation or reconstruction of the vulvar area necessitated by complications or anatomical obstruction resulting from female genital mutilation.
- Select S701 when the primary intent of the procedure is the restoration of normal anatomy and function following the specific history of infibulation.
Common Pitfalls
- Do not bill S701 for routine gynecological repairs or other vulvar surgeries; it is strictly restricted to cases involving the sequelae of female genital mutilation.
- A common rejection occurs when billing for a surgical assistant without prior authorization, as S701 lacks a basic unit value for assistants in the Schedule of Benefits, requiring manual approval per GP85.
Billing Tips
- Ensure the clinical record explicitly documents the history of infibulation and the specific anatomical necessity for the repair to support the claim during potential audits.
- If a surgical assistant is required, initiate the request for medical consultant authorization before submission to avoid automatic claim rejection.
Provider Fee$115.00
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
V. Female Genital Surgical Procedures
Subcategory
FEMALE GENITAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Female Genital Surgical Procedures
Sex Restriction
Female
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