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S785
S785 – Induced abortion after 14 weeks of gestation
OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
An induced abortion performed by any surgical technique when the patient's gestation is confirmed to be after 14 weeks. This is a surgical procedure and includes anaesthesia services. The fee for the surgeon is claimed with suffix 'A', and the anaesthesiologist with suffix 'C'. See the Anaesthesiologists' Services section starting on : for details on unit calculation.
When to Use
- Use S785 when performing a surgical abortion for a pregnancy confirmed by ultrasound to be beyond 14 weeks gestation.
- Use this code for surgical termination procedures where the fee includes the anaesthesia component, distinguishing it from earlier gestation procedures like S752 or S768.
Common Pitfalls
- Failure to document the ultrasound-confirmed gestational age in the patient record, which is a mandatory requirement for this code.
- Attempting to bill S785B for a surgical assistant without prior authorization via M400B, as assistant fees are not automatically payable for this procedure.
- Incorrectly billing S785 for procedures at or below 14 weeks, which should be claimed under the appropriate lower-gestation surgical codes.
Billing Tips
- Ensure the surgeon claims with suffix 'A' and the anaesthesiologist claims with suffix 'C' to ensure correct processing of the bundled anaesthesia fee.
- If an assistant is medically necessary, submit the claim with M400B accompanied by a formal letter from the surgeon justifying the requirement to the Ministry for manual review.
Provider Fee$189.85
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
The length of gestation must be confirmed by ultrasound.
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