All codes
T751
T751 – T751
OHIP Other Code · Schedule of Benefits
When to Use
- Use T751 for the primary surgeon's fee when performing a radical prostatectomy, including pelvic lymphadenectomy.
- Apply this code for the definitive surgical management of localized prostate cancer when the procedure is performed via open, laparoscopic, or robotic-assisted approach.
Common Pitfalls
- Do not bill T751 in conjunction with pelvic lymph node dissection codes, as the lymphadenectomy is considered inclusive to the T751 fee.
- Avoid billing T751 alongside cystoprostatectomy codes like T752, as these are mutually exclusive procedures for the same anatomical site.
Billing Tips
- Ensure the operative report clearly details the extent of the lymph node dissection to justify the complexity of the procedure if audited.
- If a secondary procedure is performed during the same session that is not part of the radical prostatectomy, ensure it is billed with the appropriate 'M' code modifier to avoid automatic rejection.
Provider Fee$792.71
Specialist Fee$792.71
Effective: February 1, 2011
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