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S777
S777 – Uterine inversion, operative
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
This surgical procedure is for the operative correction of a uterine inversion. The surgeon's fee is claimed using suffix 'A'. Assistant services (suffix 'B') are payable based on 6 base units plus time units. Anaesthesia services (suffix 'C') are payable based on 6 base units plus time units.
When to Use
- Use S777 for the surgical correction of a uterine inversion when manual repositioning has failed and an operative approach is required.
- Use this code for acute uterine inversion occurring during the third stage of labour requiring operative intervention.
Common Pitfalls
- Do not bill S777 in conjunction with routine delivery codes if the inversion was a separate, distinct surgical event requiring its own operative time and resources.
- Avoid claiming S777 for manual repositioning attempts; manual reduction should be billed using the appropriate obstetrical visit or procedure code if applicable, as S777 is strictly for operative correction.
Billing Tips
- Ensure the operative report clearly distinguishes the surgical correction from the initial delivery to justify the claim for S777 as a separate procedure.
- When claiming after-hours premiums (E409A or E410A), ensure the start time of the procedure is accurately recorded in the medical record to match the claim submission.
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