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T424

T424T424

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T424 for the professional fee associated with the surgical implantation of a permanent pacemaker system when performed in an operating room setting.
  • Apply this code when the procedure involves the placement of both the pulse generator and the lead(s) as a complete primary system implantation.

Common Pitfalls

  • Do not bill T424 in conjunction with codes for temporary pacing or diagnostic electrophysiology studies performed during the same session, as these are considered bundled.
  • Avoid billing T424 if the procedure is limited to a lead revision or generator change, as these require specific codes such as Z512 or Z513 instead.

Billing Tips

  • Ensure that the operative report clearly details the lead placement and generator connection to support the full procedural fee, as this is a high-value code subject to post-payment review.
Provider Fee$2,490.47
Specialist Fee$2,490.47

Effective: April 1, 2025

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