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T595

T595T595

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T595 for the primary surgeon performing a radical vulvectomy with inguinal lymph node dissection.
  • Apply this code when the procedure is performed as a definitive treatment for invasive vulvar carcinoma requiring extensive tissue resection.

Common Pitfalls

  • Billing T595 in conjunction with minor excision codes like Z315 is often rejected as the minor procedure is considered bundled into the radical resection.
  • Claiming T595 with an assistant fee is frequently audited; ensure the operative report explicitly justifies the necessity of an assistant for this specific complexity.

Billing Tips

  • If a concurrent procedure such as a pelvic lymphadenectomy is performed, bill it using the appropriate code with a diagnostic code modifier to avoid global fee rejections.
Provider Fee$491.17
Specialist Fee$491.17

Effective: February 1, 2011

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