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S781

S781Staging Para-aortic lymphadenectomy for carcinoma

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

Staging Para-aortic lymphadenectomy for carcinoma (laparoscopic or open) is a surgical procedure for cancer staging. It is not eligible for payment when rendered with staging pelvic lymphadenectomy for carcinoma (S776) or with Z578.

When to Use

  • Use S781 when performing a stand-alone para-aortic lymphadenectomy for cancer staging where no pelvic lymphadenectomy is performed.
  • Use this code for both open and laparoscopic approaches when the primary intent is para-aortic nodal staging for gynecological malignancy.

Common Pitfalls

  • Billing S781 alongside S776 will result in an automatic rejection, as the Ministry considers these bundled procedures.
  • Submitting S781 with restricted codes like S757, S762, or S763 will trigger a claim rejection due to the explicit billing interactions defined in the Schedule of Benefits.
  • Failure to recognize that S781 is a comprehensive procedural fee, meaning it cannot be unbundled to claim additional nodal dissection components.

Billing Tips

  • If performing both para-aortic and pelvic lymphadenectomy, you must bill the comprehensive procedure code that encompasses both, rather than attempting to bill S781 and S776 separately.
  • Ensure that if the procedure is performed after hours, you append the appropriate E-code (E409 or E410) to the claim to receive the procedural premium, as these are not automatically calculated.
Provider Fee$431.20
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

S722, S760, S812, S813, S738, S741, S745, S747, S780, S781 and S782 are not eligible for payment when rendered with S757, S816, S758, S759, S710, S763 or S762.

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