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S739

S739Fimbriolysis and salpingostomy

OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits

Represents a surgical procedure. The fee for the surgeon is $491.15. Fees for surgical assistants and anaesthetists are calculated based on basic units plus time units. The base fee for an assistant is $84.84 (approx. 7 basic units) and for an anaesthetist is $122.57 (approx. 8 basic units). Time units are added based on the duration of the service as per rules in and . Various premiums may apply.

When to Use

  • Use S739 for the surgical lysis of adhesions involving the fallopian tubes to restore patency or for the creation of a new tubal opening (salpingostomy).
  • Select this code when the primary surgical intent is the restoration of tubal function, distinguishing it from simple tubal ligation or fulguration procedures.

Common Pitfalls

  • Failing to append the E862 laparoscopic premium when the procedure is performed via laparoscopy, which results in a 25% loss of the primary surgical fee.
  • Incorrectly billing S739 as an office procedure; this is a surgical code that must be performed in an appropriate facility setting to be eligible for the full fee.

Billing Tips

  • Always ensure the correct suffix (A for surgeon, B for assistant, C for anaesthetist) is appended to the code to prevent automatic rejection.
  • When performing the procedure laparoscopically, ensure E862 is submitted on the same claim as S739A to trigger the 25% fee increase.
Provider Fee$434.55
Surgical Assistant Fee$75.06
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

Urogenital and Urinary Surgical Procedures

Sex Restriction

Female

In the surgical part of the Schedule, the required suffixes are: suffix A if the physician performs the procedure; suffix B if the physician assisted at the surgery; and suffix C if the physician administered the anaesthetic. From .

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