All codes
T683
T683 – T683
OHIP Other Code · Schedule of Benefits
When to Use
- Use T683 for the professional fee associated with the insertion of a permanent cardiac pacemaker, specifically for a single-chamber system.
- Apply this code when the procedure is performed in an operating room or cardiac catheterization lab setting where the physician is the primary surgeon.
Common Pitfalls
- Billing T683 in conjunction with other surgical procedure codes that are considered inclusive of the pacemaker insertion, leading to automatic claim rejection.
- Failing to append the appropriate diagnostic code that justifies the medical necessity of the permanent pacemaker, such as symptomatic bradycardia or high-grade AV block.
Billing Tips
- Ensure that the operative report clearly documents the specific device type to support the T683 claim if an audit occurs, as this code is specific to single-chamber systems versus dual-chamber alternatives.
Provider Fee$1,600.00
Specialist Fee$1,600.00
Effective: February 1, 2011
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