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T371

T371T371

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T371 for the initial assessment and management of a patient presenting with a confirmed or suspected acute myocardial infarction in an emergency or urgent care setting.
  • Apply this code when performing a comprehensive cardiac evaluation that requires immediate stabilization and decision-making regarding thrombolytic therapy or urgent transfer for PCI.
  • Select T371 when the clinical complexity of the cardiac event exceeds the scope of a standard A007 or A001 assessment due to the need for continuous monitoring and critical care interventions.

Common Pitfalls

  • Billing T371 in conjunction with a standard office visit code (A007) for the same patient on the same day will trigger an automatic rejection for duplicate service.
  • Failure to document the specific time of onset and the critical nature of the cardiac event often leads to audit recovery if the clinical notes do not support the complexity of a T-code.
  • Using T371 for routine follow-up of stable ischemic heart disease is an inappropriate use of the code and will be flagged during post-payment review.

Billing Tips

  • Ensure the clinical record explicitly details the cardiac findings, ECG interpretation, and the immediate therapeutic plan to justify the higher fee compared to standard assessment codes.
  • If the patient requires prolonged stabilization beyond the initial assessment, consider whether additional critical care time codes are applicable, provided they meet the specific time-based requirements.
Provider Fee$252.29
Specialist Fee$252.29

Effective: April 1, 2025

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