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T526
T526 – T526
OHIP Other Code · Schedule of Benefits
When to Use
- Use T526 for the surgical removal of a cataract with intraocular lens implantation when performed by an ophthalmologist.
- Select this code specifically for phacoemulsification or extracapsular cataract extraction procedures that include the insertion of an artificial lens.
Common Pitfalls
- Do not bill T526 in conjunction with E076, as the cataract extraction fee is considered inclusive of the standard pre-operative assessment and post-operative care.
- Avoid billing T526 if the procedure is aborted before the lens implantation occurs, as this may require a different surgical code or a reduced fee submission.
Billing Tips
- Ensure the surgical report clearly documents the lens implantation to justify the T526 fee over simpler extraction codes that do not include lens insertion.
Provider Fee$1,188.00
Specialist Fee$1,188.00
Effective: February 1, 2011
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