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S764
S764 – Myomectomy
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Myomectomy is a surgical procedure listed in the Female Genital Surgical Procedures section of the Schedule of Benefits. It involves the excision of uterine fibroids by any technique except hysteroscopic. The fee for the surgeon is a flat rate, while fees for the assistant and anaesthetist are calculated based on basic units plus time-based units.
When to Use
- Use S764 for open abdominal or laparoscopic myomectomy procedures where the fibroid is excised via an incision.
- Use this code for the surgical removal of uterine fibroids when the procedure is specifically not performed via a hysteroscopic approach.
Common Pitfalls
- Billing S764 for hysteroscopic removal of fibroids, which is excluded by the code description and requires a different procedural code.
- Attempting to bill S764 in conjunction with other major pelvic procedures without ensuring the multiple procedure rule (50% reduction for the second procedure) is applied correctly.
Billing Tips
- Ensure that the operative report clearly distinguishes the surgical approach as non-hysteroscopic to avoid audit rejections for incorrect code selection.
- When performing an after-hours procedure, remember that the E409 or E410 premium applies to the procedural fee, while separate assistant and anaesthetic premiums (E400B/C or E401B/C) must be claimed on their respective service lines.
Provider Fee$406.90
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
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