All codes
T407
T407 – T407
OHIP Other Code · Schedule of Benefits
When to Use
- Use T407 for the surgical repair of a ruptured or lacerated tendon involving the hand or wrist that requires formal operative intervention.
- Apply this code when performing a primary repair of a flexor or extensor tendon where the procedure is distinct from a simple wound closure (A001) or minor laceration repair (Z101).
Common Pitfalls
- Billing T407 in conjunction with a minor procedure code like Z101 is often flagged for unbundling, as the tendon repair is considered inclusive of the necessary wound closure.
- Failure to document the specific tendon involved and the complexity of the repair often leads to claim rejection if the Ministry audits for clinical necessity.
Billing Tips
- Ensure that the operative report clearly describes the tendon identification and the specific suturing technique used to justify the higher complexity fee compared to standard soft tissue repairs.
Provider Fee$787.97
Specialist Fee$787.97
Effective: April 1, 2025
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