All codes
T451
T451 – T451
OHIP Other Code · Schedule of Benefits
When to Use
- Use T451 for the primary surgeon performing a radical prostatectomy, including the associated lymphadenectomy.
- Apply this code when the procedure is performed via open, laparoscopic, or robotic-assisted approach, as the fee covers the surgical service regardless of the technique.
Common Pitfalls
- Billing T451 in conjunction with Z105 for the same procedure is a common error, as the lymph node dissection is considered an integral component of the radical prostatectomy fee.
- Submitting T451 with an assistant code (E796) without documenting the complexity or specific necessity of the assistant can trigger a manual review or rejection.
Billing Tips
- If a secondary procedure is performed during the same operative session that is unrelated to the prostatectomy, ensure it is billed with the appropriate diagnostic code and a 'MIC' (Multiple Procedure) indicator to avoid automatic rejection.
Provider Fee$802.56
Specialist Fee$802.56
Effective: April 1, 2025
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