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T023
T023 – T023
OHIP Other Code · Schedule of Benefits
When to Use
- Use T023 for the initial consultation and assessment of a patient requiring a complex, multidisciplinary surgical plan for major reconstructive procedures.
- Apply this code when the clinical complexity of the surgical reconstruction exceeds the scope of a standard consultation code like A005 or A007.
Common Pitfalls
- Billing T023 in conjunction with a standard office visit code on the same day will result in a rejection for duplicate service.
- Failure to document the specific complexity or the multidisciplinary nature of the surgical plan often leads to audit recovery of the fee differential.
Billing Tips
- Ensure the clinical note explicitly details the surgical planning process to justify the high-value fee compared to standard consultation codes.
Provider Fee$600.73
Specialist Fee$600.73
Effective: February 1, 2011
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