S757 – Hysterectomy - abdominal - total or subtotal
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
This procedure is a total or subtotal abdominal hysterectomy, performed with or without the removal of adnexa. The fee listed is for the surgeon's service (suffix A). Fees for the surgical assistant (suffix B) and anaesthesiologist (suffix C) are calculated based on a combination of basic and time units. As per the commentary on page :, hysterectomy for benign conditions, such as this one or S816, should only be performed when less invasive treatments have been found to be unsuccessful or are declined by the patient.
When to Use
- Use S757 for a total or subtotal abdominal hysterectomy performed for benign conditions where conservative management has failed or been declined.
- Use S757 when performing an open abdominal approach, as opposed to a vaginal approach (S710) or laparoscopic-assisted approach (which uses S757 plus E862).
Common Pitfalls
- Billing S757 in conjunction with restricted codes like S722, S760, or S812 will result in automatic claim rejection.
- Failing to document the failure of less invasive treatments for benign conditions poses a significant audit risk, as this is a specific requirement in the Schedule of Benefits.
- Attempting to bill E090 for endometriosis without explicit documentation of moderate or severe disease severity will lead to recovery of the premium.
Billing Tips
- Always append the E862 premium (25% increase) when the procedure is performed laparoscopically or with laparoscopic assistance to ensure appropriate compensation.
- Ensure the E090 add-on is only claimed when ovaries are removed specifically due to moderate or severe endometriosis, as it is not a general premium for adnexal removal.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
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