All codes
T378
T378 – T378
OHIP Other Code · Schedule of Benefits
When to Use
- Use T378 for the professional fee associated with a therapeutic or diagnostic arthroscopy of the knee when performed as a primary procedure.
- Apply this code when the clinical documentation confirms the completion of a knee arthroscopy procedure that does not involve more complex reconstructive elements covered by higher-valued codes.
Common Pitfalls
- Billing T378 in conjunction with other knee arthroscopy codes that include the same components, leading to unbundling rejections.
- Failing to include the necessary diagnostic or procedural modifiers when the arthroscopy is performed alongside other distinct surgical interventions.
Billing Tips
- Ensure the operative report clearly delineates the specific findings and procedures performed to justify the T378 fee against potential audit inquiries regarding procedure complexity.
Provider Fee$528.58
Specialist Fee$528.58
Effective: April 1, 2025
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