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T408

T408T408

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T408 for the professional fee associated with the insertion of a permanent pacemaker system, specifically for a single chamber device.
  • Apply this code when the procedure is performed in an operating room or cardiac catheterization lab setting where the physician assumes full responsibility for the implantation.

Common Pitfalls

  • Billing T408 in conjunction with other surgical procedure codes that are considered inclusive of the pacemaker insertion, leading to automatic claim rejection.
  • Failing to ensure the patient's diagnostic code supports the medical necessity of a permanent pacemaker, which triggers manual review or audit.

Billing Tips

  • Ensure that any associated diagnostic imaging or intraoperative monitoring is billed using the appropriate separate codes, as T408 covers the surgical implantation fee only.
Provider Fee$1,182.21
Specialist Fee$1,182.21

Effective: April 1, 2025

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