All codes
T429
T429 – T429
OHIP Other Code · Schedule of Benefits
When to Use
- Use T429 for the surgical repair of a ruptured or chronic tear of the Achilles tendon requiring open surgical intervention.
- Select this code when performing a primary repair of a complete tendon rupture where the procedure involves direct suturing or reattachment to the calcaneus.
Common Pitfalls
- Billing T429 in conjunction with minor debridement codes like S101 is often rejected as the debridement is considered an integral component of the primary repair.
- Submitting T429 for a simple percutaneous repair or non-operative management will trigger an audit as the code specifically mandates an open surgical approach.
Billing Tips
- Ensure the operative report explicitly details the extent of the tear and the specific technique used for reattachment to justify the high-value fee associated with T429.
Provider Fee$1,773.06
Specialist Fee$1,773.06
Effective: April 1, 2025
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