All codes
T272
T272 – T272
OHIP Other Code · Schedule of Benefits
When to Use
- Use T272 for the initial assessment of a patient with a suspected or confirmed fracture requiring reduction, where the procedure is performed in the same session.
- Apply this code when managing a patient with a significant soft tissue injury or dislocation that necessitates a formal reduction procedure under local or regional anesthesia.
Common Pitfalls
- Billing T272 in addition to a standard office visit fee (A007) is a common rejection; the code is intended to be comprehensive for the procedure encounter.
- Failing to document the specific technique used for the reduction or the post-reduction neurovascular status often leads to audit recovery for this fee.
Billing Tips
- Ensure the diagnostic code reflects the specific fracture or dislocation site to justify the procedural fee, as generic injury codes frequently trigger manual review.
Provider Fee$118.47
Specialist Fee$118.47
Effective: February 1, 2011
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