S721 – Anterior, posterior repair with excision of cervical stump
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S721 is a surgical procedure for anterior and posterior repair with excision of the cervical stump. This service is designated with a '#' prefix, indicating that when performed in a hospital or an Integrated Community Health Services Centre (ICHSC), the costs for premises, equipment, supplies, and personnel are covered by the facility's budget and not billed separately ().
When to Use
- Use S721 specifically for the combined procedure of anterior and posterior colporrhaphy performed concurrently with the excision of a cervical stump (trachelectomy).
- Do not use S721 if only an anterior or posterior repair is performed; use the appropriate singular repair code (e.g., S712 or S715) instead.
Common Pitfalls
- Billing S721 in addition to a hysterectomy code is a common audit trigger; S721 is intended for the repair of a previously existing cervical stump, not as a component of a primary hysterectomy.
- Failure to document the specific components of the anterior and posterior repair can lead to rejections if the claim is audited for medical necessity against the global fee.
Billing Tips
- Ensure the operative report explicitly details both the anterior and posterior repair steps alongside the excision of the cervical stump to justify the comprehensive nature of the S721 fee.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
Female
The '#' prefix indicates that for services 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. For services provided in an Integrated Community Health Services Centre (ICHSC), these are funded under the facility costs set out in the Integrated Community Health Services Centres Act, 2023. Patients cannot be charged for these items for services with a '#' prefix rendered outside of a hospital or ICHSC.
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