S726 – Construction of artificial vagina
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S726 is a surgical procedure for the construction of an artificial vagina. The fee for the surgeon (S726A) is determined by Independent Consideration (IC). As outlined in , claims for IC services must be submitted with a supporting letter explaining the amount of the fee claimed, an appropriate operative report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.
- **Assistant Fee (S726B):** 6 basic units plus time units.
- **Anaesthesia Fee (S726C):** 6 basic units plus time units.
When to Use
- Use S726A for the primary surgical construction of an artificial vagina when no specific fixed-fee code exists for the specific technique used.
- Use this code for complex reconstructive procedures where the surgical time and technical difficulty significantly exceed standard gynecological procedures like a simple colporrhaphy.
Common Pitfalls
- Failure to submit the required supporting letter and operative report at the time of claim submission will result in an automatic rejection or delay for IC processing.
- Neglecting to explicitly compare the procedure's complexity to a specific non-IC code in the Schedule will lead to an arbitrary fee assessment by the Ministry.
- Submitting S726A without a detailed breakdown of the surgical steps makes it impossible for the Ministry to validate the requested IC amount.
Billing Tips
- When justifying the IC fee, select a high-complexity procedure from the Schedule as your benchmark to demonstrate that S726A represents a higher level of surgical effort.
- Ensure the operative report clearly highlights the duration and specific technical challenges of the reconstruction to support the fee requested in your cover letter.
No fee information available.
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
For Independent Consideration (IC) claims, submission must include a supporting letter explaining the amount of the fee claimed, and must include an appropriate operative or consultation report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.
Female
(see General Preamble )
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