What is OHIP billing code S709?

S709 is "Urethrovaginal fistula repair", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S709 pay?

The current OHIP fee for S709 is $374.85, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill S709 to OHIP?

S709 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S709 claims against the Schedule of Benefits rules before submission.

What codes are related to S709?

Codes related to S709 in the Schedule of Benefits include S523, S231, S729, S549, S546, E862, S815, Z606.

All codes

S709

S709 – Urethrovaginal fistula repair

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

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A surgical procedure for the closure of a urethrovaginal fistula, which is an abnormal connection between the urethra and the vagina. This service is listed under Female Genital Surgical Procedures. The service is eligible for surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) fees. Assistant and anaesthetist fees are calculated based on a unit system combining basic units and time units. For S709, the basic units are 6 for the assistant () and 6 for the anaesthetist ().

When to Use

Use S709 specifically for the surgical closure of a confirmed urethrovaginal fistula, distinct from vesicovaginal fistula repairs which are billed under S523.
Apply this code when the procedure is performed as a primary repair; if the repair is part of a more extensive reconstructive procedure, ensure the documentation supports S709 as the major procedure for unit calculation purposes.

Common Pitfalls

Billing S709 alongside other major gynecological procedures without recognizing that assistant and anaesthetist units are restricted to the major procedure only.
Failing to document the specific anatomical nature of the fistula, leading to potential audit reclassification if the procedure is found to be a vesicovaginal repair (S523) instead.

Billing Tips

When calculating assistant and anaesthetist fees, use the fixed basic unit value of 6, but ensure you correctly append the appropriate time units based on the total duration of the procedure.
If the procedure is performed after hours, ensure you apply the correct premium (E409 or E410) to the procedural fee, and apply the corresponding assistant (E400B/E401B) and anaesthetist (E400C/E401C) premiums to their respective fees.

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Provider Fee$374.85

Surgical Assistant Fee$75.06

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

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