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S768
S768 – Spontaneous abortion, incomplete - including D&C
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Surgical management of a spontaneous, incomplete abortion. This procedure includes dilatation and curettage (D&C) to remove remaining products of conception from the uterus. As a surgical service, this fee includes all specific elements of surgical assistance (see ) and anaesthesia (see ), when applicable, in addition to the common elements of all insured services (see -14).
When to Use
- Use S768 for the surgical management of a spontaneous, incomplete abortion requiring a D&C to clear the uterus.
- Use this code when the clinical presentation confirms retained products of conception following a spontaneous miscarriage, distinguishing it from elective termination procedures.
Common Pitfalls
- Billing S768 in conjunction with an office visit or consultation on the same day is generally disallowed as the surgical fee is comprehensive.
- Failing to append the correct suffix (B for assistants, C for anaesthesia) will result in automatic rejection of the associated add-on claims.
- Attempting to bill S768 for a complete abortion where no surgical intervention was performed is an audit risk; use appropriate evaluation and management codes instead.
Billing Tips
- Ensure the procedure start time is accurately recorded to support the application of after-hours premiums (E409, E410) if the surgery occurs outside standard hours.
- When claiming anaesthesia, use the basic unit value of 6 and submit with suffix C to ensure the anaesthesiologist's claim is processed correctly.
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