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T555

T555T555

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T555 for the primary surgeon performing a radical prostatectomy with pelvic lymph node dissection.
  • Apply this code when the procedure is performed via open, laparoscopic, or robotic-assisted approach as the definitive surgical treatment for localized prostate cancer.

Common Pitfalls

  • Billing T555 alongside an assistant fee (E-code) without ensuring the assistant is actually present and documented, as this is a high-audit target.
  • Attempting to bill additional procedure codes for the lymph node dissection separately, as the fee for T555 is comprehensive and includes the pelvic lymphadenectomy.

Billing Tips

  • Ensure the operative report explicitly details the extent of the lymphadenectomy to support the global fee if audited against standard urological billing guidelines.
Provider Fee$1,178.79
Specialist Fee$1,178.79

Effective: February 1, 2011

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