All codes
T396
T396 – T396
OHIP Other Code · Schedule of Benefits
When to Use
- Use T396 for the initial assessment and management of a patient presenting with a confirmed or suspected acute myocardial infarction in an emergency department setting.
- Apply this code when providing comprehensive care for a patient with unstable angina requiring immediate stabilization and diagnostic workup.
Common Pitfalls
- Do not bill T396 in conjunction with a standard A007 or A008 assessment, as the code is designed to be comprehensive of the initial encounter.
- Avoid using T396 for routine follow-up visits or stable cardiac monitoring, as it is strictly reserved for acute, high-acuity cardiac presentations.
Billing Tips
- Ensure the clinical record clearly supports the acute nature of the cardiac event to withstand potential post-payment audits regarding the necessity of the high-value fee.
Provider Fee$140.15
Specialist Fee$140.15
Effective: April 1, 2025
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