All codes
T525
T525 – T525
OHIP Other Code · Schedule of Benefits
When to Use
- Use T525 for the professional fee associated with the insertion of a permanent cardiac pacemaker, specifically for the generator and lead system.
- Apply this code when performing a primary implantation procedure in an operating room setting where the global surgical fee is required.
Common Pitfalls
- Billing T525 in conjunction with E078 or E079 is a common error, as these codes are intended for different cardiac rhythm management interventions.
- Failure to include the appropriate diagnostic code for the underlying arrhythmia or heart block will trigger an automatic rejection for lack of medical necessity.
Billing Tips
- Ensure that the facility fee is billed separately by the hospital, as T525 covers only the physician's professional surgical service.
Provider Fee$591.60
Specialist Fee$591.60
Effective: February 1, 2011
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