S784 – Ectopic pregnancy - management by any surgical technique
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Ectopic pregnancy - management by any surgical technique
When to Use
- Use S784 for the surgical management of an ectopic pregnancy, whether performed via laparoscopy or laparotomy.
- Use S784 when performing a salpingectomy or salpingostomy specifically for the treatment of an ectopic pregnancy.
Common Pitfalls
- Do not bill S784 in conjunction with other major pelvic surgery codes unless the ectopic management is a distinct, separate procedure; otherwise, it may be considered bundled.
- Failure to document the specific surgical technique (e.g., salpingectomy vs. salpingostomy) can lead to audit scrutiny regarding the necessity of the procedure.
- Do not attempt to bill S784 for diagnostic laparoscopy alone; use E860 only as an add-on if a laparotomy is subsequently performed.
Billing Tips
- Always append E860 if you perform a diagnostic laparoscopy that immediately precedes a laparotomy for the ectopic pregnancy.
- If the procedure is performed after hours, ensure you correctly apply the appropriate after-hours or night premium (E410) to maximize the procedural fee.
Effective: April 1, 2026
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
When the Trauma Premium (E420) is claimed, the patient's Injury Severity Score (ISS) must be documented in the medical record.
For anaesthesia services (S784C), the patient's pre-operative ASA physical status classification must be documented.
For anaesthesia services (S784C), the start and end times for anaesthesia administration must be documented in the patient's medical record for time unit calculation.
When a replacement surgical assistant (E005B) or replacement anaesthesiologist (E005C) is involved, their respective start and stop times must be documented in the patient's permanent medical record.
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