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S747

S747Para ovarian cystectomy

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

Para ovarian cystectomy is the surgical excision of a para-ovarian cyst. As per the note on page (), this fee code includes payment for unilateral or bilateral services. This is a surgical procedure with specific base units for anaesthesia and surgical assistance.

When to Use

  • Use S747 for the surgical excision of a para-ovarian cyst when the procedure is limited to the cyst itself.
  • Select S747 when the pathology is strictly para-ovarian, distinguishing it from an oophorectomy (S745) or salpingo-oophorectomy (S746).

Common Pitfalls

  • Do not bill S747 as a bilateral procedure; the fee is inclusive of both unilateral and bilateral services, and additional claims for the second side will be rejected.
  • Avoid billing S747 in conjunction with other ovarian procedures unless the clinical documentation clearly supports distinct, separate surgical sites that are not considered part of the same operative field.
  • Do not attempt to bill for a second surgical assistant without prior authorization, as S747 is not on the pre-approved list for secondary assistance.

Billing Tips

  • Ensure the operative report explicitly describes the cyst as 'para-ovarian' to avoid confusion with ovarian cystectomy codes, which may carry different clinical implications.
  • If performing this procedure on an emergency basis after hours, ensure the claim includes the appropriate E409 or E410 premium to maximize the procedural fee.
Provider Fee$306.85
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

Female Genital Surgical Procedures

Sex Restriction

Female

The ovarian excision codes include payment for unilateral or bilateral services except for S745 when the contralateral ovary has moderate or severe endometriosis and E090 can be billed.

For Diagnostic and Therapeutic procedures - see gynaecology.

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