All codes
T043
T043 – T043
OHIP Other Code · Schedule of Benefits
When to Use
- Use T043 for the initial assessment and management of a patient presenting with a major burn injury requiring specialized intervention.
- Apply this code when performing a comprehensive evaluation of a patient with significant thermal, chemical, or electrical burns that necessitate immediate specialized treatment planning.
Common Pitfalls
- Do not bill T043 in conjunction with a standard office visit code like A007, as the service is intended to be comprehensive and inclusive of the initial assessment.
- Avoid using T043 for follow-up burn care; subsequent visits should be billed using appropriate minor assessment or procedure codes rather than this initial management fee.
Billing Tips
- Ensure the clinical record clearly justifies the complexity of the burn injury to support the use of this higher-value code during a potential Ministry audit.
Provider Fee$245.58
Specialist Fee$245.58
Effective: February 1, 2011
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