All codes
T430
T430 – T430
OHIP Other Code · Schedule of Benefits
When to Use
- Use T430 for the primary surgeon performing a radical neck dissection, which includes the removal of lymph nodes and surrounding tissue for malignancy.
- Apply this code when the procedure is performed as a standalone major surgical intervention, as it is not intended to be billed as an add-on to other neck procedures.
Common Pitfalls
- Billing T430 alongside other neck dissection codes like T431 or T432 will trigger an automatic rejection for unbundling.
- Submitting T430 without a valid diagnostic code for malignancy often leads to manual review or rejection, as this fee is specifically designated for oncological surgical management.
Billing Tips
- If a bilateral procedure is performed, ensure you use the appropriate bilateral indicator or modifier to receive the correct premium, as T430 is primarily valued for a unilateral approach.
Provider Fee$483.57
Specialist Fee$604.13
Effective: April 1, 2025
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