All codes
T612
T612 – T612
OHIP Other Code · Schedule of Benefits
When to Use
- Use T612 for the professional fee associated with the insertion of a permanent cardiac pacemaker, specifically for a single chamber system.
- Apply this code when performing the surgical implantation procedure in an operating room setting where the global surgical fee is applicable.
Common Pitfalls
- Billing T612 in conjunction with a consultation code (A005) on the same day is frequently rejected unless a separate, distinct clinical reason is documented and appended with the appropriate diagnostic code.
- Failure to account for the global period of the procedure; billing subsequent follow-up visits for routine post-operative care within the global period will result in automatic rejection.
Billing Tips
- Ensure the procedure date and the facility number match the hospital's surgical log to avoid discrepancies during automated OHIP reconciliation.
Provider Fee$673.20
Specialist Fee$673.20
Effective: February 1, 2011
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