All codes
T352
T352 – T352
OHIP Other Code · Schedule of Benefits
When to Use
- Use T352 for the surgical repair of a complex or recurrent inguinal hernia that requires mesh reinforcement or extensive dissection.
- Select T352 when performing a bilateral inguinal hernia repair in a single operative session, as it accounts for the increased complexity compared to unilateral codes like T350.
- Apply T352 for inguinal hernia repairs involving strangulated or incarcerated bowel that necessitates resection or significant additional surgical time.
Common Pitfalls
- Billing T352 in conjunction with a standard unilateral hernia repair code is a common cause of rejection for duplicate service.
- Failing to document the specific complexity, such as mesh usage or recurrent status, often leads to recovery during post-payment audits.
- Attempting to bill T352 for a simple primary hernia repair will result in a downgrade or rejection, as it is intended for complex or bilateral cases.
Billing Tips
- Ensure the operative report explicitly details the bilateral nature or the specific complexity of the repair to justify the higher fee compared to T350.
- If performing an additional unrelated procedure during the same session, ensure the secondary procedure is billed with the appropriate diagnostic code and the 'M' indicator for multiple procedures.
Provider Fee$552.80
Specialist Fee$552.80
Effective: February 1, 2011
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