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T687

T687T687

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T687 for the professional fee associated with the insertion of a permanent pacemaker system when performed as a primary procedure.
  • Apply this code when the clinical documentation confirms the placement of both the pulse generator and the lead(s) as a single operative event.

Common Pitfalls

  • Billing T687 in conjunction with lead revision codes like Z766, which is disallowed as the insertion fee is considered comprehensive.
  • Submitting T687 for temporary pacemaker insertion, which must be billed under specific temporary pacing codes rather than this permanent system fee.

Billing Tips

  • Ensure the operative report clearly details the lead placement and generator connection to support the full value of T687 during potential post-payment audits.
Provider Fee$1,600.00
Specialist Fee$1,600.00

Effective: February 1, 2011

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