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T544

T544T544

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T544 for the complete surgical excision of a malignant neoplasm of the vulva involving a radical vulvectomy with bilateral inguinal lymphadenectomy.
  • Select this code when the clinical procedure requires the extensive removal of vulvar tissue and regional lymph nodes as a single comprehensive operative session.

Common Pitfalls

  • Billing T544 in conjunction with separate lymph node dissection codes is considered unbundling, as the lymphadenectomy is already included in the T544 fee.
  • Submitting T544 for simple or partial vulvectomies will trigger a rejection; use the appropriate minor excision codes such as S540 or S541 for less extensive procedures.

Billing Tips

  • Ensure the operative report explicitly details the extent of the radical resection and the bilateral nature of the lymphadenectomy to support the high-value fee during a potential audit.
Provider Fee$1,321.18
Specialist Fee$1,321.18

Effective: February 1, 2011

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