All codes
T647
T647 – T647
OHIP Other Code · Schedule of Benefits
When to Use
- Use T647 for the surgical repair of a complete or incomplete rectal prolapse via the abdominal approach (rectopexy).
- Select this code when performing a formal abdominal rectopexy, as opposed to a perineal approach like the Altemeier procedure (T648).
Common Pitfalls
- Billing T647 in conjunction with a bowel resection (e.g., Z512) without ensuring the resection is medically necessary and distinct from the rectopexy, as this may trigger a manual review.
- Attempting to bill T647 alongside a diagnostic laparoscopy (Z760) is generally disallowed as the diagnostic component is considered integral to the primary surgical procedure.
Billing Tips
- Ensure the operative report explicitly details the fixation technique used, such as mesh placement or suture rectopexy, to support the high-value fee during potential audits.
- If a concurrent procedure like a cholecystectomy is performed, ensure it is billed with the appropriate 'M' indicator for multiple procedures to avoid automatic rejection.
Provider Fee$738.00
Specialist Fee$738.00
Effective: February 1, 2011
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