How do I fix OHIP error code S7?

Check the date of the procedure and the visit, and what the visit was for. If it was routine care around the surgery, it's included, but from April 1, 2026 in-hospital pre-operative assessments 1 to 2 days before surgery and in-hospital visits in the two weeks after are paid in full (INFOBulletin 260901). If the visit was the major pre-operative visit (where you decided to operate), or was for a significant, unrelated problem, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date, with the chart note. Use a diagnostic code that matches the separate problem. For future claims, bill the decision-to-operate visit as the consultation or assessment it was, and use the diagnosis for the unrelated problem on any separate visit.

When shouldn't I resubmit a S7 claim?

The visit was routine pre- or post-operative care for the surgery. The visit is on the RA. Changes go through an RAI, not a new claim.

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Error code

S7 — Normal pre-op and post-op care included in surgical fee

Q: What does OHIP error code S7 mean?

This visit was routine pre-operative or post-operative care, which OHIP counts as part of the surgical fee, so it wasn't paid separately.

Included in surgical fee

This visit was routine pre-operative or post-operative care, which is part of the surgical fee, so it wasn't paid separately.

What to do: Check what the visit was for; from April 1, 2026 in-hospital pre-operative assessments and post-operative visits are also billed separately (INFOBulletin 260901).

Code: S7
Description: Normal pre-op and post-op care included in surgical fee

Explanation

Updated October 26, 2026

This visit was routine pre-operative or post-operative care, which OHIP counts as part of the surgical fee, so it wasn't paid separately.

What it means

S7 means OHIP treated the visit as normal pre-operative or post-operative care included in the surgical fee. The visit line is usually paid $0 while the procedure stays paid.

Under the Surgical Preamble, every surgical fee includes preparing (or supervising the preparation of) the patient, doing the procedure, recovery room care, and arranging follow-up and monitoring the patient after the procedure until the first post-operative visit. It also includes advice to the patient or their representative, by telephone or otherwise, about the service (SP1).

Some visits are not included. The major pre-operative visit, meaning the consultation or assessment where the decision to operate is made, is billed separately whatever the time between it and the surgery (SP2, GP4). A minor procedure plus an unrelated, significant problem in another body system at the same visit can be billed as both (SP4). Services not usually associated with the original procedure can be claimed fee-for-service (SP2).

Common causes

A routine pre-operative check billed by the surgeon in addition to the major pre-operative visit
A hospital or day-surgery admission assessment billed by the surgeon when it wasn't the major pre-operative visit (SP2)
A routine post-operative check billed separately from the surgical fee
A visit for an unrelated problem billed without a diagnostic code that shows it was unrelated

How to fix it

Check the date of the procedure and the visit, and what the visit was for.
If it was routine care around the surgery, it's included, but from April 1, 2026 in-hospital pre-operative assessments 1 to 2 days before surgery and in-hospital visits in the two weeks after are paid in full (INFOBulletin 260901).
If the visit was the major pre-operative visit (where you decided to operate), or was for a significant, unrelated problem, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date, with the chart note. Use a diagnostic code that matches the separate problem.
For future claims, bill the decision-to-operate visit as the consultation or assessment it was, and use the diagnosis for the unrelated problem on any separate visit.

Don't resubmit if

The visit was routine pre- or post-operative care for the surgery.
The visit is on the RA. Changes go through an RAI, not a new claim.

How APEX handles it

APEX has no correction rule for S7. If nothing else was paid for the patient on that service date, the claim is listed in the Correction Centre under Outstanding for your input; otherwise the visit stays in your claims as billed and paid. In most cases the right step is to leave it, or mark it Ignored, rather than resubmit. See how APEX works · Pricing

Related codes: S5, D5, V3, S6