All codes
T231
T231 – T231
OHIP Other Code · Schedule of Benefits
When to Use
- Use T231 for the initial assessment and management of a patient with a major burn injury requiring specialized care.
- Apply this code when performing a comprehensive evaluation of burn depth and surface area that necessitates a formal treatment plan.
Common Pitfalls
- Billing T231 in conjunction with a standard office visit code (A007) for the same encounter will result in a rejection for duplicate service.
- Failure to document the specific total body surface area (TBSA) percentage and degree of burn can lead to recovery of funds during a Ministry audit.
Billing Tips
- Ensure that the clinical notes explicitly detail the burn severity and location to justify the higher complexity fee compared to standard assessment codes.
Provider Fee$487.78
Specialist Fee$487.78
Effective: February 1, 2011
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