All codes
T534
T534 – T534
OHIP Other Code · Schedule of Benefits
When to Use
- Use T534 for the professional fee associated with the insertion of a permanent cardiac pacemaker, specifically for a single-chamber system.
- Apply this code when the procedure is performed in a hospital setting where the physician is responsible for the surgical implantation component.
Common Pitfalls
- Billing T534 alongside a consultation code on the same day is frequently rejected unless a specific diagnostic necessity is documented and appended with the appropriate modifier.
- Submitting T534 without the corresponding hospital admission or surgical facility claim can trigger an audit for missing procedural context.
Billing Tips
- Ensure that the technical component of the pacemaker device is billed separately under the appropriate hospital supply code, as T534 covers the professional surgical fee only.
Provider Fee$1,321.18
Specialist Fee$1,321.18
Effective: February 1, 2011
Since Apr 2004, this fee has increased 4.0% vs 13.4% CPI inflation
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