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S763
S763 – Radical hysterectomy (Wertheim or Schauta) - includes node dissection
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S763 represents a radical hysterectomy, such as a Wertheim or Schauta procedure. This comprehensive surgical service includes the removal of the uterus, cervix, upper part of the vagina, and surrounding tissues, as well as a node dissection. The fee includes anaesthesia and surgical assistant components, which are calculated based on time and base units (Anae: 8 base units; Asst: 8 base units).
When to Use
- Use S763 for a radical hysterectomy (Wertheim or Schauta) that includes the mandatory lymph node dissection as part of the oncological procedure.
- Select S763 when performing a radical hysterectomy for cervical cancer where the extent of resection includes the upper vagina and parametrium.
Common Pitfalls
- Do not bill S763 in conjunction with S760 (total hysterectomy) or S722 (radical vulvectomy), as these are explicitly restricted and will result in claim rejection.
- Failure to append the E862 premium when the radical hysterectomy is performed laparoscopically or with laparoscopic assistance results in a 25% underpayment of the procedure fee.
Billing Tips
- Always verify that the node dissection is documented in the operative report, as S763 is a comprehensive code that assumes this component is performed.
- Ensure that after-hours premiums (E409 or E410) are applied only if the procedure meets the non-elective criteria or was delayed by an intervening surgical emergency.
Provider Fee$1,081.80
Surgical Assistant Fee$100.08
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92
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
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