S767 – Amputation of cervix - vaginal
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Surgical excision of a cervical stump, performed via a vaginal approach. The '#' prefix indicates that for services performed in a hospital or ICHSC, the premises, equipment, supplies, and personnel are funded by the hospital global budget or ICHSC funding and cannot be charged to the patient (see ). Anaesthesia (S767C) is paid based on 7 base units plus time units. Assistant (S767B) is paid based on 6 base units plus time units.
When to Use
- Use S767 for the formal surgical amputation of a cervical stump when performed via the vaginal route.
- Use this code for a trachelectomy procedure where the cervical tissue is excised, distinguishing it from simple biopsy or polyp removal (Z720).
Common Pitfalls
- Billing S767 in conjunction with Z720 is a common rejection; if a polyp is removed during the same session as the amputation, the polyp removal is considered incidental and not separately billable.
- Failing to recognize that S767 is a '#' code means that if performed in a hospital setting, you must not bill for facility-related costs or supplies, as these are covered by the hospital's global budget.
Billing Tips
- Ensure the surgical report clearly describes the vaginal approach to justify the use of S767 over alternative abdominal or laparoscopic codes if applicable to the specific clinical scenario.
- If the procedure is performed after hours, remember to apply the appropriate E-series premium (E409 or E410) to the surgeon's fee, as these are not automatically calculated by the system.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
Female
Note: Excision of cervical polyp(s) under general anaesthesia, submit using Z720.
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