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T511
T511 – T511
OHIP Other Code · Schedule of Benefits
When to Use
- Use T511 for the professional fee associated with the insertion of a permanent cardiac pacemaker, specifically for a single-chamber system.
- Apply this code when performing the initial implantation procedure in an operating room or cardiac catheterization lab setting.
Common Pitfalls
- Billing T511 in conjunction with T512 is a common error, as T512 is intended for dual-chamber systems and these codes are mutually exclusive.
- Failure to include the appropriate facility fee or technical component if the procedure is performed in a non-hospital setting will lead to incomplete reimbursement.
Billing Tips
- Ensure the operative report clearly specifies the single-chamber nature of the device to support the use of T511 over higher-valued dual-chamber codes.
Provider Fee$783.00
Specialist Fee$783.00
Effective: February 1, 2011
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