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T200
T200 – T200
OHIP Other Code · Schedule of Benefits
When to Use
- Use T200 for the surgical management of a complex fracture requiring open reduction and internal fixation of the femur.
- Apply this code when performing a primary total hip arthroplasty for degenerative joint disease where the procedure meets the specific surgical complexity criteria defined in the Schedule of Benefits.
Common Pitfalls
- Billing T200 in conjunction with other surgical procedures that are considered inclusive under the General Preamble rules for multiple procedures.
- Failing to include the mandatory operative report details that justify the complexity level required for this specific fee code during an audit.
Billing Tips
- Ensure the operative note explicitly documents the specific hardware used and the anatomical approach to support the T200 claim against potential post-payment review.
Provider Fee$2,059.22
Specialist Fee$2,059.22
Effective: February 1, 2011
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