All codes
S714
S714 – Second look exploratory laparotomy including biopsies
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
The service as described in the Schedule is a 'Second look exploratory laparotomy including biopsies, when done as part of chemotherapy protocol for ovarian carcinoma with or without total omentectomy'. The phrase 'with or without' indicates that the performance of a total omentectomy is at the discretion of the physician, and if performed, is included in the fee for S714 and is not billed separately (see ).
When to Use
- Use S714 specifically for a planned second-look exploratory laparotomy in a patient with a documented diagnosis of ovarian carcinoma undergoing a chemotherapy protocol.
- Use this code when performing biopsies during the second-look procedure, as these are considered an integral component of the service and are not billable as separate biopsy codes.
Common Pitfalls
- Do not bill a separate fee for a total omentectomy if performed during the procedure, as the Schedule explicitly states this is included in the S714 fee.
- Avoid using S714 for general exploratory laparotomies unrelated to an ovarian carcinoma chemotherapy protocol, as this will lead to rejection or audit recovery.
- Do not attempt to bill for biopsies performed during the procedure; these are bundled into the S714 fee and any additional biopsy claims will be considered duplicate billing.
Billing Tips
- Ensure your operative report clearly documents the 'second-look' nature of the procedure and the underlying ovarian carcinoma diagnosis to support the use of this specific code over general laparotomy codes.
- If a second surgical assistant is required, you must obtain prior authorization from a medical consultant, as S714 is not on the pre-approved list for second assistant billing.
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
Sex Restriction
Female
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.