All codes
T262
T262 – T262
OHIP Other Code · Schedule of Benefits
When to Use
- Use T262 for the surgical excision of a malignant lesion of the eyelid, specifically when the procedure involves a full-thickness resection.
- Select T262 instead of minor excision codes like E542 when the complexity of the eyelid reconstruction requires formal surgical closure techniques beyond simple primary repair.
Common Pitfalls
- Billing T262 in conjunction with a general excision code (e.g., Z100) will trigger a rejection for duplicate service or unbundling.
- Failure to document the specific anatomical involvement of the eyelid margin or tarsus often leads to audit downgrades to lower-valued excision codes.
Billing Tips
- Always append the appropriate diagnostic code for the malignancy to justify the higher complexity fee associated with T262 compared to benign lesion removals.
Provider Fee$274.34
Specialist Fee$274.34
Effective: February 1, 2011
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