All codes
T742
T742 – T742
OHIP Other Code · Schedule of Benefits
When to Use
- Use T742 for the professional fee associated with the insertion of a permanent cardiac pacemaker, specifically for a single chamber system.
- Bill T742 when performing the primary implantation procedure in a hospital setting, ensuring the service is not bundled into a global surgical fee for a different primary procedure.
Common Pitfalls
- Billing T742 alongside dual-chamber pacemaker codes like T743 is a common rejection trigger, as the system type must be consistent with the procedure performed.
- Failing to include the mandatory diagnostic code for the underlying arrhythmia or heart block will result in an automatic claim rejection.
Billing Tips
- Ensure that the technical component (hospital facility fee) is billed separately by the institution, as T742 covers the professional physician service only.
Provider Fee$792.71
Specialist Fee$792.71
Effective: February 1, 2011
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