All codes
T452
T452 – T452
OHIP Other Code · Schedule of Benefits
When to Use
- Use T452 for the surgical repair of a complex or recurrent inguinal hernia that requires the use of prosthetic mesh or significant tissue reconstruction.
- Select T452 when performing a formal open repair of a femoral hernia, as this code specifically covers the complexity of the femoral canal anatomy.
Common Pitfalls
- Do not bill T452 in conjunction with a simple primary closure code like T450, as T452 is intended for more complex procedural requirements.
- Avoid billing T452 for bilateral procedures without the appropriate 'B' suffix, as failing to indicate bilaterality will result in a payment reduction for the second side.
Billing Tips
- Ensure that the operative report explicitly details the use of mesh or the specific technique used for the repair to justify the higher complexity associated with T452 over standard hernia codes.
Provider Fee$1,680.65
Specialist Fee$1,680.65
Effective: April 1, 2025
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