All codes
S704
S704 – Vulvectomy - radical - without gland dissection
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S704 represents a radical vulvectomy without gland dissection. As a surgical procedure, payment includes all common and specific elements as defined in the General Preamble, including pre-operative assessment and routine post-operative care. The service is eligible for separate fees for the surgeon, assistant, and anaesthetist, calculated based on basic and time units.
When to Use
- Use S704 for radical vulvectomy procedures where the surgical intent is the excision of the vulva without the inclusion of lymph node dissection.
- Select S704 when the procedure is more extensive than a simple vulvectomy (S703) but does not meet the criteria for a radical vulvectomy with lymphadenectomy.
Common Pitfalls
- Billing S704 alongside lymph node dissection codes will trigger a rejection; ensure the operative report explicitly confirms no gland dissection was performed.
- Attempting to bill a second surgical assistant without prior authorization will result in automatic denial, as S704 is not on the pre-approved list for multiple assistants.
Billing Tips
- If a second assistant is clinically necessary, submit the claim with a formal letter from the surgeon detailing the specific intraoperative requirements that necessitated additional assistance.
- Always verify if the procedure qualifies for E409A or E410A when performed on an emergency basis, as these premiums significantly increase the base fee of $431.45.
Provider Fee$431.45
Surgical Assistant Fee$75.06
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
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