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Billing code

S757A — Abdominal hysterectomy, total or subtotal

Abdominal hysterectomy

Bill S757 for a total or subtotal abdominal hysterectomy, with or without removal of the tubes and ovaries.

Watch for: Add E862 (+25%) when laparoscopic; tube, ovary, sterilization and D&C codes aren't payable with it.

Code

S757A

Description

Abdominal hysterectomy, total or subtotal

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

Total or subtotal abdominal hysterectomy, with or without removal of the tubes and ovaries.

What it covers

S757 is an abdominal hysterectomy, total or subtotal, with or without adnexa unless otherwise specified (V8). Vaginal hysterectomy is S816; hysterectomy with vaginal repairs is S758 or S759 (V8).

The Schedule notes that hysterectomy for benign conditions should only be done when less invasive treatments have failed or been declined (V8 commentary).

Billing rules

• Add E862 (+25%) when the hysterectomy is done laparoscopically or with laparoscopic assistance (V8).
• Add E090 when one or both ovaries with moderate or severe endometriosis are removed (V8).
• S722, S760, S812, S813, S738, S741, S745, S747, S780, S781 and S782 are not payable with S757, S816, S758, S759, S710, S763 or S762 (V8, note).
• A D&C is not payable with a hysterectomy (V1, rule 2).
• More than one procedure under the same anaesthetic (or within 14 days in the same admission for the same condition): the major procedure is paid in full and the others at 85% (SP2, §3).
• The surgical fee does not include the major pre-operative visit (where the decision to operate is made), which is billed separately; the surgeon can't bill the hospital admission assessment unless it is that visit (SP2, §1).
• Eligible for the E676 morbid obesity premium: BMI over 40 charted, general anaesthesia (SP6, SP7).

Often billed with

• E862 for a laparoscopic or laparoscopic-assisted approach (V8).
• E090 for ovaries with moderate or severe endometriosis (V8).
• E854 ureterolysis (V1).
• E673 may be added when at least 60 minutes of operative time is spent on lysis of extensive intra-abdominal adhesions (SP7, §25).

Related codes: S816, S758, S759, S710, S763, E862, E090, S764

Source: Schedule of Benefits (July 1, 2026), Female Genital Surgical Procedures, Corpus Uteri, page V8.

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