All codes
T596
T596 – T596
OHIP Other Code · Schedule of Benefits
When to Use
- Use T596 for the surgical management of a spontaneous abortion or missed abortion involving the evacuation of the uterus via suction curettage.
- Apply this code when performing a dilation and curettage (D&C) specifically for the management of incomplete or retained products of conception following a pregnancy loss.
Common Pitfalls
- Do not bill T596 in conjunction with a consultation or assessment code on the same day, as the global fee includes the pre-operative assessment.
- Avoid billing T596 for elective terminations of pregnancy, as this code is strictly for spontaneous or missed abortion management; elective procedures require different diagnostic codes.
- Ensure the diagnosis code reflects the specific type of abortion (e.g., O03.4 for incomplete spontaneous abortion) to avoid automatic rejection for mismatched procedure-diagnosis pairings.
Billing Tips
- If an additional procedure is performed during the same operative session that is not part of the standard D&C, ensure you review the Schedule of Benefits to determine if it is eligible for 50% or 100% add-on billing.
Provider Fee$491.17
Specialist Fee$491.17
Effective: February 1, 2011
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