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S772

S772Endometrial ablation

OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits

Endometrial ablation by any method is a surgical procedure. The fee for the surgeon is listed, and there are 6 base units for anaesthesia. Note: Hysteroscopy (Z582, Z583, Z587) is not eligible for payment when rendered with endometrial ablation (S772).

When to Use

  • Use S772 as the primary procedure code for endometrial ablation performed for the treatment of menorrhagia.
  • Use this code for surgical destruction of the endometrial lining regardless of the specific technology or method employed (e.g., thermal balloon, radiofrequency, or cryoablation).

Common Pitfalls

  • Do not bill Z582, Z583, or Z587 on the same claim as S772, as these hysteroscopy codes are explicitly restricted and will be rejected.
  • Avoid billing a separate diagnostic hysteroscopy if it is performed as an integral part of the ablation procedure, as the fee for S772 is considered inclusive of the necessary visualization.

Billing Tips

  • Ensure the 6 base units for anaesthesia are correctly calculated and included in the anaesthesiologist's claim, as these are specific to the S772 procedure.
Provider Fee$225.90
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94

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

Hysteroscopy (Z582, Z583, Z587) is not eligible for payment when rendered with endometrial ablation (S772).

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