What are the billing rules for S460A?

When the same physician claims any other insured surgical procedure for the same patient on the same day, S460 is included in that other procedure and not paid separately (T5). E792 adds 25% when the ureterolysis is done laparoscopically (T5). E676 morbid obesity premium can be added (BMI over 40 and charted; general anaesthesia, which includes spinal or epidural (GP3)), once per patient per physician; S460 is on the eligible list (SP6-SP7).

What is S460A often billed with?

E792 when done laparoscopically (T5). E676A/E676B for a morbidly obese patient (SP6).

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Billing code

S460A — Ureterolysis For Periureteral Fibrosis - Unilateral

Q: What is OHIP billing code S460A?

Ureterolysis for periureteral fibrosis, one side. Not paid separately when the same physician claims any other surgical procedure for the patient that day.

Ureterolysis, one side

Bill S460 for ureterolysis on one side for periureteral fibrosis.

Watch for: If you claim any other surgical procedure for the patient that day, S460 is included in it and not paid.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$480.25	$0.00	$77.46	$95.76	$95.76

Code: S460A
Description: Ureterolysis For Periureteral Fibrosis - Unilateral
FHO+ basket: Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date: Apr 1, 2026
Termination date: No end date

Explanation

Updated October 26, 2026

Ureterolysis for periureteral fibrosis, one side. Not paid separately when the same physician claims any other surgical procedure for the patient that day.

What it covers

S460 is unilateral ureterolysis for periureteral fibrosis, listed under Kidney and Upper Urinary Tract in Urogenital and Urinary Surgical Procedures (T5). It is a # procedure, so the fee does not include the operating room premises, equipment and staff (T5, SP1).

The surgeon bills suffix A, the assistant B and the anaesthesiologist C; the assistant's fee is 6 basic units and the anaesthesia fee 6 basic units, plus time units (T5, SP5, GP85-GP86, GP92-GP93).

Billing rules

When the same physician claims any other insured surgical procedure for the same patient on the same day, S460 is included in that other procedure and not paid separately (T5).
E792 adds 25% when the ureterolysis is done laparoscopically (T5).
E676 morbid obesity premium can be added (BMI over 40 and charted; general anaesthesia, which includes spinal or epidural (GP3)), once per patient per physician; S460 is on the eligible list (SP6-SP7).
The major pre-operative visit, where the decision to operate is made, is billed separately (SP2, GP4).

Often billed with

E792 when done laparoscopically (T5).
E676A/E676B for a morbidly obese patient (SP6).

Related codes: E792, S461, S457, E854, E676

Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Kidney and Upper Urinary Tract, page T5 (Surgical Preamble SP1-SP7; General Preamble GP3, GP85-GP86, GP92-GP93)

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