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T431
T431 – T431
OHIP Other Code · Schedule of Benefits
When to Use
- Use T431 for the primary surgeon performing a radical vulvectomy with inguinal lymph node dissection.
- Apply this code when the procedure involves the complete removal of the vulva and regional lymph nodes for malignancy, distinguishing it from the less extensive T430.
Common Pitfalls
- Billing T431 in conjunction with other vulvar excision codes like T430 is considered unbundling and will result in automatic rejection.
- Failure to include the appropriate diagnostic code for malignancy can trigger a manual review or rejection, as this is a major oncological procedure.
Billing Tips
- Ensure that the operative report clearly details the extent of the lymphadenectomy to justify the use of T431 over lower-valued vulvectomy codes.
Provider Fee$802.56
Specialist Fee$802.56
Effective: April 1, 2025
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