All codes
T598
T598 – T598
OHIP Other Code · Schedule of Benefits
When to Use
- Use T598 for the surgical management of a spontaneous abortion (miscarriage) requiring dilation and curettage or evacuation of the uterus.
- Select this code when the clinical procedure involves the surgical removal of products of conception following a confirmed pregnancy loss, distinguishing it from elective termination procedures.
- Apply T598 when the procedure is performed in an operating room or surgical suite setting for the management of incomplete or missed abortion.
Common Pitfalls
- Billing T598 in conjunction with an office visit (A007) on the same day is generally rejected as the fee includes the pre-operative assessment.
- Using T598 for elective pregnancy terminations is a common audit trigger, as this code is strictly designated for spontaneous abortion management.
- Failing to include the appropriate diagnostic code (e.g., ICD-O03) will result in automatic rejection, as the claim must clearly link the procedure to a spontaneous loss.
Billing Tips
- Ensure the operative report explicitly documents the 'spontaneous' nature of the abortion to support the use of T598 over other surgical procedure codes.
- If an ultrasound or other diagnostic imaging is performed on the same day by the same physician, it is typically considered bundled into the T598 fee and should not be billed separately.
Provider Fee$718.01
Specialist Fee$718.01
Effective: February 1, 2011
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