All codes
T553
T553 – T553
OHIP Other Code · Schedule of Benefits
When to Use
- Use T553 for the surgical excision of a malignant lesion of the eyelid where the defect requires a complex reconstruction involving a flap or graft.
- Select T553 when the procedure involves the repair of a full-thickness eyelid defect following tumor resection, distinguishing it from simpler excision codes like E551.
Common Pitfalls
- Billing T553 in conjunction with a simple excision code is a common audit trigger; the complexity of the reconstruction must be clearly documented to justify the higher fee.
- Submitting T553 for a benign lesion excision is a frequent cause of rejection, as this code is specifically intended for malignant pathology requiring complex repair.
Billing Tips
- Ensure the operative report explicitly details the flap or graft technique used, as this documentation is required to support the T553 fee over standard excision codes.
Provider Fee$792.71
Specialist Fee$792.71
Effective: February 1, 2011
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