S750 – Radical resection pelvic and para-aortic nodes for cancer
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Radical resection pelvic and para-aortic nodes for cancer. As a surgical procedure, this fee includes all related pre-operative and post-operative care. Refer to the Surgical Assistants' Services preamble () and Anaesthesiologists' Services preamble () for detailed specific elements included in the service.
When to Use
- Use S750 when performing a formal radical lymphadenectomy of both pelvic and para-aortic nodal basins for gynecological malignancy.
- Select S750 for comprehensive staging procedures where the surgical intent and extent explicitly include both nodal regions as defined by the procedure.
Common Pitfalls
- Attempting to bill Z758, S776, or S781 on the same day as S750 will result in automatic claim rejection due to explicit billing restrictions.
- Failing to recognize that S750 is a comprehensive fee; do not unbundle components of the lymphadenectomy that are considered inclusive of the radical resection.
Billing Tips
- Unlike most surgical procedures, S750 allows for a second assistant without prior authorization, so ensure this is claimed if a second assistant is utilized.
- Verify that the operative report clearly details the dissection of both pelvic and para-aortic nodes to support the use of this specific code over less extensive nodal sampling codes.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
1. Z758, S776 or S781 are not eligible for payment when rendered to the same patient same day as S750.
2. 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.
3. For Diagnostic and Therapeutic procedures - see gynaecology.
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