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T558

T558T558

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T558 for the surgical repair of a complete or incomplete rectal prolapse via the abdominal approach (rectopexy).
  • Select this code when performing a laparoscopic or open abdominal fixation of the rectum, distinguishing it from perineal approaches like the Altemeier procedure (T557).

Common Pitfalls

  • Billing T558 in conjunction with a bowel resection (e.g., Z511) without clear documentation of medical necessity for the additional procedure, which may trigger a manual review.
  • Attempting to bill T558 alongside a diagnostic laparoscopy (Z960) is considered unbundling, as the diagnostic component is included in the global fee for the definitive repair.

Billing Tips

  • Ensure the operative report explicitly details the fixation technique used, as the Ministry may audit to confirm the procedure meets the definition of an abdominal rectopexy rather than a simple mucosal resection.
Provider Fee$1,178.79
Specialist Fee$1,178.79

Effective: February 1, 2011

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