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S728
S728 – One surgeon
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Surgical procedure for a primary approach to the vagina, performed by a single surgeon. This procedure is billable by the surgeon (suffix A), an assistant (suffix B), or an anaesthetist (suffix C). A 25% premium is available via E862 if the procedure is performed laparoscopically.
When to Use
- Use S728 for primary surgical procedures via the vaginal approach when performed by a single surgeon as the primary operator.
- Select S728 when the procedure is performed laparoscopically, ensuring the addition of E862 to capture the 25% premium.
Common Pitfalls
- Do not bill S728 if a second surgeon is involved in the same operative session; use the appropriate multi-surgeon codes instead.
- Avoid billing S728 in conjunction with other vaginal surgical codes if the procedures are considered inclusive or part of the same operative field under the Schedule of Benefits.
- Failure to document the laparoscopic approach in the operative report will lead to a rejection or clawback of the E862 premium.
Billing Tips
- Always append suffix A for the surgeon, B for the assistant, or C for the anaesthetist to ensure the claim processes correctly against the specific provider role.
- When performing the procedure after hours, ensure the claim meets the non-elective criteria or the emergency delay requirement before applying E409 or E410 premiums.
Provider Fee$429.10
Surgical Assistant Fee$87.57
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
V. Female Genital Surgical Procedures
Subcategory
FEMALE GENITAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Female Genital Surgical Procedures
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