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S729
S729 – Ureterovaginal fistula repair
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S729 is the fee code for the surgical repair of a ureterovaginal fistula. This procedure is eligible for payment to the surgeon (suffix A), a surgical assistant (suffix B), and an anaesthesiologist (suffix C). - The anaesthesia service has 6 base units plus time units as per . - The surgical assistant service has 6 base units plus time units as per . - Payment for a second assistant is eligible without prior authorization as per .
When to Use
- Use S729 specifically for the surgical repair of a ureterovaginal fistula, distinguishing it from general urological or gynecological reconstructive codes.
- Apply this code when the primary surgical intent is the closure of an abnormal communication between the ureter and the vagina, typically following gynecological surgery or trauma.
Common Pitfalls
- Do not bill S729 in conjunction with other major pelvic reconstructive codes unless the procedures are distinct and meet the criteria for multiple procedure billing (typically requiring a 50% reduction on the second procedure).
- Avoid using S729 for vesicovaginal fistula repairs, which require different codes; incorrect coding here is a frequent cause of audit adjustments.
Billing Tips
- Ensure that if a second surgical assistant is utilized, you bill the second assistant's claim separately using the same code S729, as this is eligible without prior authorization per GP90.
- Always verify the start time of the procedure to correctly apply the appropriate after-hours or night premiums (E400B/C or E401B/C), as these are calculated based on the case commencement time.
Provider Fee$560.95
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
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