What is OHIP billing code S723?

S723 is "Repair of anal sphincter", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S723 pay?

The current OHIP fee for S723 is $305.90, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill S723 to OHIP?

S723 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S723 claims against the Schedule of Benefits rules before submission.

All codes

S723

S723 – Repair of anal sphincter

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

Ask AI Bill This Code — Sign Up Free

Posterior repair and repair of anal sphincter is a surgical procedure listed in the Female Genital Surgical Procedures section of the Schedule of Benefits. It has assigned base units for both surgical assistance (S723B) and anaesthesia (S723C) as per the schedule on page :.

When to Use

Use S723 for the surgical repair of an anal sphincter following an obstetric injury or other trauma.
Use S723 when performing a posterior repair in conjunction with an anal sphincter repair as a single procedural event.

Common Pitfalls

Attempting to bill S723 alongside other perineal or vaginal repair codes without ensuring they are not considered 'included' in the global surgical fee.
Failing to document the specific Injury Severity Score (ISS) when attempting to claim the E420 trauma premium for this procedure.

Billing Tips

Ensure the claim includes the correct age-based premium code if the patient is under 16, as these are not automatically applied by the system.
If a second surgical assistant is required, do not bill without prior authorization; you must submit a letter of justification to the Ministry to avoid automatic rejection.

Have a specific question? Ask our billing assistant

Provider Fee$305.90

Surgical Assistant Fee$75.06

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in