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T027

T027T027

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T027 for the initial assessment and management of a patient with a major burn injury requiring specialized care, typically in a hospital setting.
  • Apply this code when the clinical complexity of the burn management exceeds the scope of a standard consultation code like A005 or A007.

Common Pitfalls

  • Billing T027 in conjunction with a standard consultation code for the same patient on the same day will result in a rejection for duplicate service.
  • Failure to document the specific total body surface area (TBSA) and depth of the burn often leads to audit recovery, as these metrics justify the high-value fee.

Billing Tips

  • Ensure the clinical record explicitly supports the complexity of the burn care to defend the T027 fee against potential Ministry of Health post-payment audits.
Provider Fee$600.73
Specialist Fee$600.73

Effective: February 1, 2011

Since Apr 2004, this fee has increased 4.0% vs 13.4% CPI inflation

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T027 – T027 | OHIP Fee Schedule | SnapBill MD