S748 – One surgeon
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure on the vagina performed by one surgeon, indicated for patients following two or more failed previous procedures. As per page of the Schedule, the fee for this service may be increased by 25% if performed laparoscopically by adding premium code E862. Assistant at surgery (suffix 'B') is valued at 7 basic units, and anaesthesia services (suffix 'C') are valued at 7 basic units.
When to Use
- Use S748 for a vaginal surgical procedure specifically indicated for stress incontinence in patients who have already undergone two or more failed prior surgical interventions for the same condition.
- Select S748 when the procedure is performed by a single surgeon, distinguishing it from procedures requiring co-surgeons or different surgical approaches.
Common Pitfalls
- Billing S748 without clear documentation of the two or more failed prior procedures in the patient's history will lead to audit recovery.
- Attempting to bill E862 (laparoscopic premium) when performing an open vaginal approach is a common error that results in claim rejection.
- Concurrent billing of other anti-incontinence or anti-prolapse procedures with S748 is prohibited and will trigger a rejection.
Billing Tips
- Always append E862 to the claim for S748 if the procedure is performed laparoscopically to capture the 25% fee increase.
- Ensure the surgical report explicitly details the previous failed surgeries to satisfy the specific eligibility criteria for this high-complexity code.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Female Genital Surgical Procedures
Female
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