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S724
S724 – Perineorrhaphy
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Perineorrhaphy is the surgical repair of the perineum. A key payment rule states that this service is not eligible for payment when performed concurrently with delivery or other vaginal surgery procedures.
When to Use
- Use S724 for a standalone, non-obstetrical repair of the perineum performed as a distinct surgical procedure.
- Appropriate for secondary repair of perineal defects or scarring that are not associated with a concurrent delivery or primary vaginal surgery.
Common Pitfalls
- Billing S724 concurrently with any delivery code or other vaginal surgical procedures (e.g., S760, S761) will result in an automatic rejection.
- Attempting to bill S724 for perineal repair performed at the time of an episiotomy or laceration repair during delivery is a common audit trigger for non-compliance with the 'not eligible with delivery' rule.
Billing Tips
- If the perineorrhaphy is performed as part of a more extensive vaginal procedure, ensure you are billing the primary surgical code that encompasses the repair, as S724 is restricted when performed as part of a larger vaginal surgery.
Provider Fee$127.35
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
not eligible for payment with delivery or other vaginal surgery procedures
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