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S759

S759Hysterectomy with anterior or posterior vaginal repair

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

Hysterectomy, with or without adnexa (unless otherwise specified), combined with an anterior or posterior vaginal repair. This procedure also includes enterocoele and/or vault prolapse repair when rendered.

When to Use

  • Use S759 when performing a hysterectomy in conjunction with an anterior or posterior colporrhaphy for pelvic organ prolapse.
  • This code is the correct choice when the procedure includes the repair of an enterocoele or vault prolapse alongside the hysterectomy and vaginal wall repair.

Common Pitfalls

  • Billing S759 with S760 (anterior/posterior repair) or S722 (enterocoele repair) will result in a rejection, as these are considered inclusive to S759.
  • Attempting to claim additional fees for vault prolapse repair is a common audit risk, as this is explicitly included in the S759 fee structure.

Billing Tips

  • Always append the E862 premium to S759 if the hysterectomy is performed laparoscopically or with laparoscopic assistance to capture the 25% fee increase.
  • If performing an oophorectomy for moderate or severe endometriosis, ensure E090 is claimed as a separate line item to receive the additional flat fee.
Provider Fee$655.05
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

Category

V. Female Genital Surgical Procedures

Subcategory

FEMALE GENITAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Female Genital Surgical Procedures

Sex Restriction

Female

The following codes are not eligible for payment when rendered with S759: S722, S760, S812, S813, S738, S741, S745, S747, S780, S781 and S782.

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