What is OHIP billing code S749?

S749 is "Vaginal surgeon", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S749 pay?

The current OHIP fee for S749 is $528.75, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill S749 to OHIP?

S749 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S749 claims against the Schedule of Benefits rules before submission.

What codes are related to S749?

Codes related to S749 in the Schedule of Benefits include S751, S748, S728, S730, S740, S731, S732, S733.

All codes

S749

S749 – Vaginal surgeon

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

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This procedure, performed by a vaginal surgeon, is part of a two-surgeon approach for vaginal reconstruction following two or more previous failed procedures. The service by the abdominal surgeon is claimed separately using S751. This procedure has 7 base units for an assistant (suffix B) and 7 base units for anaesthesia (suffix C). A 25% premium (E863) applies if the procedure is performed laparoscopically.

When to Use

Use S749 when acting as the vaginal surgeon in a two-surgeon team for vaginal reconstruction specifically following two or more failed previous procedures.
Use this code only when the abdominal surgeon component is simultaneously claimed under S751 to satisfy the two-surgeon requirement.

Common Pitfalls

Billing S749 alongside S748 is a common error; S748 is for single-surgeon procedures and is strictly prohibited when claiming the two-surgeon S749/S751 combination.
Failure to append the E863 premium when the procedure is performed laparoscopically results in an automatic underpayment of the 25% fee increase.
Claiming S749 without a corresponding S751 claim for the abdominal surgeon will trigger a rejection as the OHIP system expects both components for this specific surgical pathway.

Billing Tips

Ensure the operative report explicitly documents the history of two or more failed procedures to justify the use of S749 over standard reconstruction codes.
Always verify that the assistant (suffix B) and anaesthesia (suffix C) claims are linked to the primary S749 procedure to ensure the correct base units are applied.

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Provider Fee$528.75

Surgical Assistant Fee$87.57

Anaesthetist Fee$108.43

Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

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