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T117

T117T117

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T117 for the surgical repair of a complete or incomplete laceration of the flexor tendon of the hand or wrist.
  • Apply this code when performing a primary repair of a flexor tendon injury, distinct from the simple suturing of skin lacerations billed under G372.
  • Use T117 when the procedure involves the formal identification and re-approximation of tendon ends, often requiring specialized suture techniques.

Common Pitfalls

  • Do not bill T117 in addition to a simple laceration repair code like G372 for the same site, as the tendon repair is considered inclusive of the skin closure.
  • Avoid billing T117 if the procedure is limited to a tenolysis or simple tendon exploration without a formal repair, as these may require different procedural codes.
  • Ensure the operative report clearly distinguishes between a primary tendon repair and a secondary reconstruction, as T117 is intended for acute injury management.

Billing Tips

  • If multiple tendons are repaired during the same session, bill the first tendon as T117 and use the appropriate multiple procedure rules or add-on codes for subsequent tendons if applicable.
  • Always document the specific tendon involved (e.g., FDP or FDS of the index finger) to justify the complexity and support the use of T117 over minor surgical codes.
Provider Fee$350.60
Specialist Fee$350.60

Effective: February 1, 2011

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