S776 – Staging pelvic lymphadenectomy for carcinoma
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
This service involves the surgical removal and examination of pelvic lymph nodes to determine the stage of a carcinoma. The procedure can be performed using either a laparoscopic (minimally invasive) or open surgical technique. Payment for S776 is not permitted when rendered with S781 (Staging Para-aortic lymphadenectomy for carcinoma) and/or Z578.
When to Use
- Use S776 when performing a formal pelvic lymph node dissection specifically for the staging of gynecological carcinoma.
- Use S776 for pelvic lymphadenectomy performed via either open or laparoscopic approach, provided the primary intent is oncological staging.
Common Pitfalls
- Do not bill S776 in conjunction with S781 (Staging Para-aortic lymphadenectomy), as these are mutually exclusive codes for staging procedures.
- Avoid billing S776 alongside Z578, as this is a restricted combination that will trigger an automatic claim rejection.
- Ensure the procedure is documented as a staging lymphadenectomy; routine lymph node sampling incidental to other procedures may not meet the criteria for S776.
Billing Tips
- Verify that the pathology report confirms the removal and examination of pelvic lymph nodes to support the medical necessity of the staging procedure.
- If the procedure is performed after hours or on weekends, ensure the appropriate E-series premium (e.g., E409 or E410) is applied to the base fee to maximize the claim value.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
All insured services must be documented in appropriate records establishing that the service was provided, is the service for which the account is submitted, and was medically necessary.
Female
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