All codes
T655
T655 – T655
OHIP Other Code · Schedule of Benefits
When to Use
- Use T655 for the professional fee associated with a diagnostic or therapeutic thoracentesis performed in an office or hospital setting.
- Bill T655 when providing the physician component for a pleural aspiration procedure that does not require the complexity of a formal surgical tray or operating room setup.
Common Pitfalls
- Do not bill T655 in conjunction with G009 or other office visit codes if the procedure is the primary reason for the patient encounter.
- Avoid billing T655 if the procedure is performed as part of a more comprehensive surgical intervention already covered by a global fee code.
- Ensure the clinical note explicitly supports the necessity of the thoracentesis, as T655 is frequently flagged for audit if the indication for fluid removal is not clearly documented.
Billing Tips
- If ultrasound guidance is utilized during the procedure, bill G372 in addition to T655 to capture the technical component of the imaging guidance.
Provider Fee$67.57
Specialist Fee$81.04
Effective: April 1, 2025
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