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S742
S742 – Colpectomy
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
# S742 Colpectomy - e.g. for carcinoma. This procedure involves the surgical removal of the vagina. As a surgical procedure, it is eligible for surgeon (A), assistant (B), and anaesthetist (C) services.
When to Use
- Use S742 for the definitive surgical removal of the vagina, typically indicated for primary vaginal carcinoma or extensive vaginal intraepithelial neoplasia (VAIN).
- Use this code when the procedure is performed as a standalone surgical intervention, distinct from a radical hysterectomy or pelvic exenteration.
Common Pitfalls
- Do not bill S742 in conjunction with other major pelvic procedures if the colpectomy is considered an integral component of a more comprehensive surgery, as this may trigger a 'duplicate service' rejection.
- Avoid billing S742 if the procedure performed is a simple vaginal closure or repair, which should be coded under appropriate repair-specific codes rather than this major surgical removal code.
Billing Tips
- Ensure that if a second surgical assistant is required for this procedure, you bill for them explicitly, as S742 allows for a second assistant without requiring prior medical consultant authorization.
- Always verify if the procedure qualifies for the E409 or E410 after-hours premiums if the surgery is non-elective and commences outside of standard operating hours, as these significantly increase the total procedural reimbursement.
Provider Fee$365.55
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Since Apr 2004, this fee has increased 4.7% vs 57.0% CPI inflation
Category
V. Female Genital Surgical Procedures
Subcategory
FEMALE GENITAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Female Genital Surgical Procedures
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