All codes
T377
T377 – T377
OHIP Other Code · Schedule of Benefits
When to Use
- Use T377 for the surgical repair of a complete or incomplete cleft palate, typically performed by a plastic surgeon or otolaryngologist.
- Apply this code when the procedure involves the formal closure of the palatal defect, distinct from minor revisions or secondary procedures coded under different fee schedule items.
Common Pitfalls
- Billing T377 in conjunction with other surgical procedures that are considered inclusive to the primary palatal repair, leading to automatic rejection or audit flags.
- Failing to include the appropriate diagnostic code for the congenital anomaly, which is required to justify the complexity and necessity of this specific surgical intervention.
Billing Tips
- Ensure that the operative report clearly details the extent of the cleft and the specific technique used, as this code is subject to high scrutiny regarding the definition of 'complete' versus 'incomplete' repair.
Provider Fee$375.08
Specialist Fee$375.08
Effective: April 1, 2025
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