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S774
S774 – Repair of incompetent cervix - not associated with pregnancy
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S774 is a surgical procedure for the repair of an incompetent cervix. This service is specifically for cases not associated with pregnancy. This service has a surgical fee (using suffix <suffix>A</suffix>) and is eligible for separate fees for a surgical assistant (using suffix <suffix>B</suffix>) and an anaesthetist (using suffix <suffix>C</suffix>). Base units for an assistant are 6 and for anaesthesia are 6.
When to Use
- Use S774 for the surgical repair of a structurally incompetent cervix in a non-pregnant patient, such as a patient undergoing elective cervical cerclage outside of gestation.
- Use this code for corrective procedures addressing cervical insufficiency where the patient is not currently pregnant, distinguishing it from obstetric-related cerclage procedures.
Common Pitfalls
- Billing S774 for a cerclage performed during pregnancy is a common error; obstetric cerclage procedures have specific codes within the obstetrical section of the Schedule of Benefits.
- Failure to document the non-pregnant status of the patient can lead to audit scrutiny, as this code is explicitly restricted to non-obstetric cases.
Billing Tips
- Ensure the surgical assistant (suffix B) and anaesthetist (suffix C) are billed using the same service date and patient information to avoid claim rejection, utilizing the 6 base units provided for each.
Provider Fee$142.50
Surgical Assistant Fee$75.06
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
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