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T433
T433 – T433
OHIP Other Code · Schedule of Benefits
When to Use
- Use T433 for the surgical management of a complex pelvic fracture involving the acetabulum requiring open reduction and internal fixation.
- Apply this code when performing a definitive reconstruction of a major pelvic ring disruption that necessitates significant hardware implantation.
Common Pitfalls
- Billing T433 in conjunction with other fracture management codes like T430 or T431 is frequently rejected as these are considered inclusive of the primary procedure.
- Submitting T433 without clear operative documentation detailing the complexity of the reduction and the specific hardware used often leads to post-payment audit clawbacks.
Billing Tips
- Ensure the operative report explicitly justifies the complexity of the procedure to support the high-value fee associated with T433 compared to standard fracture codes.
Provider Fee$1,680.65
Specialist Fee$1,680.65
Effective: April 1, 2025
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