All codes
T676
T676 – T676
OHIP Other Code · Schedule of Benefits
When to Use
- Use T676 for the professional fee associated with the insertion of a permanent pacemaker system when performed as a primary procedure.
- Apply this code when billing for the surgical implantation of a single or dual chamber pacemaker, ensuring the operative report reflects the specific hardware utilized.
Common Pitfalls
- Do not bill T676 in conjunction with minor surgical procedures or diagnostic tests that are considered integral to the surgical package under the Schedule of Benefits.
- Avoid billing T676 if the procedure is a revision or pulse generator change, as these are covered under distinct codes such as T677 or T678.
Billing Tips
- Ensure the claim includes the appropriate diagnostic code for the underlying cardiac arrhythmia to prevent automatic rejection for lack of medical necessity.
- Verify that the facility fee is billed separately by the hospital, as T676 represents the physician's professional surgical fee only.
Provider Fee$750.00
Specialist Fee$750.00
Effective: February 1, 2011
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