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T527
T527 – T527
OHIP Other Code · Schedule of Benefits
When to Use
- Use T527 for the definitive surgical repair of a ruptured abdominal aortic aneurysm (AAA) via open laparotomy.
- Select this code when performing an emergency open repair for a symptomatic or ruptured AAA where endovascular repair (EVAR) is not anatomically feasible or clinically indicated.
Common Pitfalls
- Do not bill T527 in conjunction with endovascular codes like Z480, as the procedure is mutually exclusive to open surgical intervention.
- Avoid billing T527 if the procedure is an elective repair of an asymptomatic AAA, which is typically covered under different vascular surgery fee schedule items.
- Ensure the operative report explicitly details the rupture status, as billing T527 for non-ruptured cases will trigger an audit for inappropriate code selection.
Billing Tips
- Always append the appropriate emergency premium codes (e.g., K963) if the procedure is performed outside of scheduled operating room hours to maximize the claim value.
- Ensure that the anesthesia time and surgical duration are clearly documented to support the complexity of the T527 procedure during potential Ministry review.
Provider Fee$1,010.42
Specialist Fee$1,010.42
Effective: February 1, 2011
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