All codes
S727
S727 – Ovarian debulking
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Ovarian debulking, for ovarian carcinoma of stage 2C, 3B, 3C, or 4 and may include hysterectomy, omentectomy, bowel resection, one or more biopsies and/or resection of pelvic peritoneum
When to Use
- Use S727 for primary cytoreductive surgery in patients with advanced ovarian carcinoma (Stage 2C, 3B, 3C, or 4) when performing multi-visceral resections such as omentectomy or bowel resection.
- Use this code when the surgical procedure includes a hysterectomy performed specifically as part of the debulking process for advanced-stage ovarian cancer, rather than as a standalone gynecological procedure.
Common Pitfalls
- Billing S727 for early-stage ovarian cancer (Stage 1 or 2A/2B) will result in automatic rejection, as the code is strictly restricted to advanced stages 2C through 4.
- Attempting to unbundle and bill additional codes for omentectomy or pelvic peritoneum resection is incorrect, as these procedures are inclusive to the S727 fee.
Billing Tips
- Ensure the operative report explicitly documents the cancer stage (2C, 3B, 3C, or 4) to satisfy audit requirements for the specific clinical conditions mandated by the Schedule of Benefits.
- If the procedure is performed after hours, remember to append the appropriate after-hours premium code, such as E400C for the anaesthesiologist, to maximize the total claim value.
Provider Fee$1,081.80
Surgical Assistant Fee$100.08
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92
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
For Diagnostic and Therapeutic procedures - see gynaecology.
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