All codes
T428
T428 – T428
OHIP Other Code · Schedule of Benefits
When to Use
- Use T428 for the surgical repair of a ruptured abdominal aortic aneurysm (AAA) when performed as an emergency procedure.
- Apply this code for open surgical intervention when endovascular repair (EVAR) is anatomically unsuitable or contraindicated.
Common Pitfalls
- Billing T428 in conjunction with other vascular procedures that are considered inclusive components of the primary aneurysm repair.
- Failing to provide the mandatory operative report details confirming the rupture status, which is required to justify the higher complexity fee compared to elective AAA repair codes.
- Submitting T428 for elective AAA repairs, which must be billed under the appropriate elective vascular surgery codes instead.
Billing Tips
- Ensure the operative note clearly documents the rupture and the specific surgical approach to support the emergency designation during a post-payment audit.
- Verify that no other primary procedure codes are billed for the same anatomical site during the same operative session, as T428 is a comprehensive fee.
Provider Fee$1,182.21
Specialist Fee$1,182.21
Effective: April 1, 2025
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.