All codes
T383
T383 – T383
OHIP Other Code · Schedule of Benefits
When to Use
- Use T383 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, distinguishing it from minor revisions or secondary procedures that may fall under different surgical codes.
Common Pitfalls
- Avoid billing T383 in conjunction with other palatal procedures unless the clinical documentation clearly supports distinct, non-overlapping surgical sites or separate procedures.
- Billing T383 for a secondary palatal revision is a common audit trigger; ensure the procedure performed meets the definition of a primary cleft palate repair.
Billing Tips
- Ensure the operative report explicitly details the complexity of the repair, as this high-value code is subject to rigorous review regarding the necessity and extent of the surgical intervention.
Provider Fee$1,449.78
Specialist Fee$1,449.78
Effective: April 1, 2025
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