S717 – Anterior and posterior repair
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Anterior and posterior repair is a surgical procedure to correct prolapse of the vaginal walls. This service involves the repair of both the anterior and posterior aspects during the same operative session. It is listed with 6 base units for an assistant and 7 base units for anaesthesia. The '#' prefix indicates that when performed in a hospital or ICHSC, the facility costs (premises, equipment, supplies, personnel) are funded by the institution and not billed separately by the physician.
When to Use
- Use S717 when performing a combined anterior colporrhaphy and posterior colporrhaphy during the same operative session.
- Do not use S717 if only a single wall repair is performed; use S716 for anterior colporrhaphy or S718 for posterior colporrhaphy instead.
Common Pitfalls
- Billing S717 in addition to S716 or S718 for the same patient encounter is considered unbundling and will result in a rejection.
- Failure to document the specific repair of both vaginal walls can lead to audit recovery if the claim is reviewed and only one repair is substantiated.
Billing Tips
- Ensure the surgical assistant and anaesthesiologist claims reflect the correct base units (6 and 7 respectively) as defined in the Schedule of Benefits to avoid payment discrepancies.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
The '#' prefix indicates that for services denoted with '#' and performed in a hospital, the premises, equipment, supplies, and personnel used to perform all elements of the service are funded by the hospital global budget. If performed in an Integrated Community Health Services Centre (ICHSC), these costs are funded by the facility.
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