S761 – Combined abdominal/vaginal approach for vaginal vault prolapse
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for the repair of vaginal vault prolapse, performed using a combined abdominal and vaginal approach. This service includes the work of the primary surgeon, as well as anaesthesia and surgical assistance, which are calculated based on basic and time units. Service is denoted with a '#' prefix, indicating that for services performed in a hospital, the premises, equipment, supplies, and personnel are funded by the hospital global budget per .
When to Use
- Use S761 when performing a vaginal vault prolapse repair that specifically requires both an abdominal incision and a vaginal approach to achieve adequate fixation.
- Select S761 over S760 (vaginal approach only) when the surgical plan dictates that the abdominal component is essential for the repair, such as in complex vault suspension.
Common Pitfalls
- Billing S761 alongside other vaginal repair codes (e.g., S813) without ensuring the procedures are not considered inclusive or redundant under the Schedule of Benefits.
- Failing to document the specific necessity of the combined approach, which may lead to audit scrutiny regarding why a single-approach procedure was insufficient.
Billing Tips
- Ensure the operative report clearly delineates the work performed via both the abdominal and vaginal routes to justify the combined fee code over a single-approach alternative.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
Female
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