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T547
T547 – T547
OHIP Other Code · Schedule of Benefits
When to Use
- Use T547 for the surgical excision of a malignant lesion of the eyelid requiring a full-thickness wedge resection or similar complex reconstruction.
- Apply this code when the procedure involves a significant reconstructive component that exceeds the scope of a simple excision billed under E547 or similar minor surgery codes.
Common Pitfalls
- Billing T547 in conjunction with minor excision codes for the same lesion will trigger a rejection for duplicate service or unbundling.
- Failure to document the specific dimensions and the complexity of the reconstruction often leads to claim downgrades during post-payment audits.
Billing Tips
- Ensure the operative report clearly details the reconstructive technique used, as this justifies the higher fee compared to standard excision codes.
Provider Fee$1,321.18
Specialist Fee$1,321.18
Effective: February 1, 2011
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