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T593

T593T593

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T593 for the surgical repair of a complete or incomplete uterine prolapse via the vaginal route, specifically involving a colporrhaphy or related reconstructive procedure.
  • Select T593 when performing a vaginal hysterectomy combined with an anterior or posterior colporrhaphy, as the code encompasses the comprehensive reconstructive effort.

Common Pitfalls

  • Billing T593 in conjunction with S472 (anterior colporrhaphy) or S473 (posterior colporrhaphy) will trigger a rejection for unbundling, as these procedures are considered inclusive to the T593 global fee.
  • Attempting to claim an additional surgical assistant fee when the procedure duration or complexity does not meet the specific criteria outlined in the Schedule of Benefits for T593 will result in automated payment adjustments.

Billing Tips

  • Ensure the operative report explicitly details the specific anatomical defects addressed, as auditors prioritize the description of the prolapse repair over the procedure title alone.
Provider Fee$491.17
Specialist Fee$491.17

Effective: February 1, 2011

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