All codes
T579
T579 – T579
OHIP Other Code · Schedule of Benefits
When to Use
- Use T579 for the professional fee associated with the insertion of a permanent cardiac pacemaker system when performed by a specialist.
- Apply this code specifically for the initial implantation procedure; it should not be used for battery changes or lead revisions, which fall under different surgical codes.
Common Pitfalls
- Billing T579 in conjunction with other surgical procedure codes that are considered inclusive of the pacemaker implantation will trigger a rejection for unbundling.
- Failing to include the appropriate diagnostic code for the underlying cardiac arrhythmia or conduction disorder will lead to a claim rejection for medical necessity.
Billing Tips
- Ensure that the hospital facility fee is billed separately by the institution, as T579 covers only the physician's professional service component.
Provider Fee$792.71
Specialist Fee$792.71
Effective: February 1, 2011
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