S783 – Hysterotomy with tubal interruption
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S783 is a surgical procedure for hysterotomy with tubal interruption. The service is compensated with a set fee for the surgeon, and a fee based on basic units plus time units for the assistant and anaesthetist. This service is eligible for age-based premiums, after-hours premiums for the surgeon, assistant, and anaesthetist, and the trauma premium. Anaesthesiologists may also claim extra units based on patient condition (e.g., age, ASA class, BMI).
When to Use
- Use S783 specifically for a hysterotomy procedure that includes the intentional interruption of the fallopian tubes, distinct from a standard hysterotomy or simple tubal ligation.
- Select S783 when the surgical approach involves opening the uterus (hysterotomy) to perform the tubal interruption, rather than a laparoscopic or standard abdominal tubal ligation (e.g., S754 or S764).
Common Pitfalls
- Billing S783 in conjunction with other tubal ligation codes (like S754) is a common cause of rejection due to the procedure being considered inclusive of the tubal interruption.
- Failing to document the specific 'hysterotomy' approach can lead to audit scrutiny if the procedure was actually a standard cesarean section or simple tubal ligation, which carry different fee structures.
- Incorrectly applying after-hours premiums (E409/E410) to elective cases that do not meet the 'non-elective' or 'delayed by emergency' criteria.
Billing Tips
- Ensure that the surgical report explicitly details the hysterotomy and the method of tubal interruption to support the use of S783 over more common, lower-valued obstetric or gynecological codes.
- Always verify the start time of the procedure to accurately apply after-hours premiums (E409/E410), as these are calculated based on the commencement time of the surgery.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
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