All codes
T389
T389 – T389
OHIP Other Code · Schedule of Benefits
When to Use
- Use T389 for the surgical repair of a ruptured or lacerated tendon of the hand or wrist requiring primary repair.
- Use this code when performing a secondary tendon repair or reconstruction that does not meet the specific criteria for more complex graft-based codes like T390.
- Use T389 when the procedure is performed as a standalone surgical intervention for a single tendon injury.
Common Pitfalls
- Billing T389 in conjunction with a minor procedure code like G365 is often rejected as the minor procedure is considered bundled into the surgical fee.
- Submitting T389 for multiple tendon repairs without applying the appropriate multiple procedure rule (50% for the second procedure) will trigger an automatic adjustment or rejection.
- Failure to document the specific tendon involved and the nature of the repair can lead to clawbacks during an audit if the claim is flagged for lacking clinical necessity.
Billing Tips
- Always append the appropriate diagnostic code that reflects the traumatic nature of the injury to justify the surgical intervention.
- If performing a repair on multiple tendons during the same operative session, bill the primary tendon repair at 100% and subsequent repairs at 50% using the appropriate suffix.
Provider Fee$543.12
Specialist Fee$543.12
Effective: April 1, 2025
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