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S756
S756 – Missed abortion or evacuation of molar pregnancy
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
This procedure involves the surgical evacuation of a missed abortion or molar pregnancy using any surgical technique. The service includes all common elements of insured services as outlined in the Schedule of Benefits (, ). The anaesthesia service component includes pre-anaesthetic evaluation, the anaesthetic procedure, and post-anaesthetic follow-up as defined on .
When to Use
- Use S756 for the surgical evacuation of a missed abortion or molar pregnancy, regardless of the specific surgical technique employed.
- Select S756 when performing a D&C for a non-viable pregnancy, as it is the specific code for missed abortion, distinguishing it from S752 (therapeutic abortion).
Common Pitfalls
- Billing S756 in conjunction with other surgical procedure codes for the same site during the same operative session is generally disallowed and will trigger a rejection.
- Failure to document the specific diagnosis of 'missed abortion' or 'molar pregnancy' in the medical record can lead to audit recovery, as the code is specific to these indications.
Billing Tips
- Ensure that if the procedure is performed after hours, you append the appropriate after-hours premium (E409 or E410) to the S756 fee, provided the criteria for non-elective status are met.
- If an anaesthesiologist is involved, ensure they bill their time units and relevant modifiers (e.g., E022C for ASA III) separately, as S756 only covers the surgical procedural fee.
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