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S781
S781 – Staging Para-aortic lymphadenectomy for carcinoma
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
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
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