All codes
T556
T556 – T556
OHIP Other Code · Schedule of Benefits
When to Use
- Use T556 for the surgical repair of a complete or incomplete uterine prolapse via the abdominal route.
- Select this code when performing a sacrocolpopexy or similar abdominal suspension procedure for pelvic organ prolapse.
Common Pitfalls
- Do not bill T556 in conjunction with a hysterectomy (S442) unless the prolapse repair is a distinct, documented procedure beyond the scope of the hysterectomy itself.
- Avoid billing T556 alongside vaginal vault suspension codes like S444, as the abdominal approach is considered inclusive of the suspension technique.
Billing Tips
- Ensure the operative report explicitly details the abdominal approach to justify the higher fee compared to vaginal prolapse repair codes such as S446.
Provider Fee$1,321.18
Specialist Fee$1,321.18
Effective: February 1, 2011
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