All codes
T568
T568 – T568
OHIP Other Code · Schedule of Benefits
When to Use
- Use T568 for the professional fee associated with the insertion of a permanent cardiac pacemaker, specifically for a single-chamber system.
- Apply this code when the procedure is performed in an operating room setting where the physician is responsible for the surgical implantation component.
Common Pitfalls
- Billing T568 in conjunction with a consultation code on the same day is frequently rejected unless a distinct, unrelated clinical issue is documented and appended with the appropriate diagnostic code.
- Submitting T568 without the necessary technical component code or failing to include the mandatory facility number will result in an automatic rejection.
Billing Tips
- Ensure that if a dual-chamber pacemaker is implanted instead, you use the appropriate higher-value code rather than T568 to avoid under-billing.
Provider Fee$607.50
Specialist Fee$607.50
Effective: February 1, 2011
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