All codes
T589
T589 – T589
OHIP Other Code · Schedule of Benefits
When to Use
- Use T589 for the surgical management of a primary or recurrent inguinal hernia in an adult patient when performed via an open approach.
- Select T589 when the procedure involves the repair of a direct or indirect inguinal hernia, including the use of mesh if clinically indicated.
Common Pitfalls
- Billing T589 in conjunction with laparoscopic hernia repair codes, which are distinct and have different fee structures.
- Failing to account for the 'incidental' nature of a hernia repair if it is performed during a more extensive abdominal surgery, which may trigger a reduction in the fee under the Multiple Procedure Rule.
- Attempting to bill T589 for a femoral hernia, which requires the use of a different specific surgical code.
Billing Tips
- Ensure the operative report clearly details the type of hernia and the specific technique used to justify the T589 claim during a potential audit.
- If a bilateral hernia is repaired during the same session, bill T589 with the appropriate bilateral modifier to ensure correct payment for both sides.
Provider Fee$892.68
Specialist Fee$892.68
Effective: April 1, 2025
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.