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S752
S752 – Induced abortion - up to and including 14 weeks gestation
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S752 is an insured service for an induced abortion performed using any surgical technique, for a pregnancy up to and including 14 weeks of gestation. This service is categorized under Female Genital Surgical Procedures and includes the surgical component performed by the surgeon and the anaesthetic component. The anaesthesia fee is calculated using 6 base units plus time units.
When to Use
- Use S752 for surgical termination of pregnancy via dilation and curettage or suction aspiration when the gestational age is confirmed at 14 weeks or less.
- Use this code for the primary surgical procedure fee when the physician performs the abortion in a hospital or clinic setting, as it encompasses the surgical component.
Common Pitfalls
- Billing S752 for pregnancies exceeding 14 weeks gestation; cases beyond this limit require different procedural codes (e.g., S768) and will result in claim rejection.
- Attempting to bill a separate anaesthesia consultation fee in addition to the anaesthetic component already included in the S752 fee structure.
- Failing to document the gestational age precisely in the patient record, which is a mandatory requirement for audit verification of the 14-week threshold.
Billing Tips
- Ensure that if an anaesthesiologist is involved, their services are billed using the appropriate anaesthesia units (6 base units plus time) rather than attempting to unbundle the anaesthetic component from the S752 fee.
- When applicable, append the appropriate age-based fee premium (e.g., for patients under 16 years) to the S752 claim to ensure the full eligible procedural fee is captured.
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