All codes
T362
T362 – T362
OHIP Other Code · Schedule of Benefits
When to Use
- Use T362 for the surgical repair of a complete or incomplete rupture of the Achilles tendon.
- Select this code when performing an open repair of an acute Achilles tendon rupture, typically involving primary suture repair of the tendon ends.
Common Pitfalls
- Billing T362 in conjunction with other surgical procedures on the same site may trigger a reduction under the Multiple Procedure Rule (MPR) unless specific diagnostic exceptions apply.
- Submitting T362 for a simple tendon debridement or tenolysis is incorrect; those procedures should be billed under their respective specific codes, such as S145 or S146.
Billing Tips
- Ensure the operative report clearly details the extent of the rupture and the specific technique used, as this is the primary documentation required to defend the T362 fee during an audit.
Provider Fee$1,605.99
Specialist Fee$1,605.99
Effective: April 1, 2025
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