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T531
T531 – T531
OHIP Other Code · Schedule of Benefits
When to Use
- Use T531 for the primary surgeon's fee when performing a radical prostatectomy, including the associated lymphadenectomy.
- Apply this code for the definitive surgical management of localized prostate cancer when the procedure is performed via open or robotic-assisted radical prostatectomy.
Common Pitfalls
- Billing T531 in conjunction with other major pelvic surgery codes for the same operative session will trigger a rejection for unbundling.
- Failing to account for the global period; T531 includes all routine post-operative care for the specified duration, making separate office visit billings during this window ineligible.
Billing Tips
- Ensure the operative report clearly details the lymph node dissection, as this is a required component of the T531 procedure definition.
Provider Fee$1,127.33
Specialist Fee$1,127.33
Effective: February 1, 2011
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