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T442

T442T442

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T442 for the surgical repair of a ruptured abdominal aortic aneurysm (AAA) when performed as an emergency procedure.
  • Select this code when the clinical documentation confirms an open surgical approach for the repair of an infrarenal abdominal aortic aneurysm.

Common Pitfalls

  • Billing T442 in conjunction with endovascular aneurysm repair (EVAR) codes is a common error, as T442 is specific to open surgical intervention.
  • Failing to include the appropriate diagnostic code for the rupture will trigger an automatic rejection, as the procedure is inherently linked to the acute nature of the rupture.

Billing Tips

  • Ensure that the operative report clearly details the extent of the aortic involvement to justify the complexity associated with the T442 fee schedule.
Provider Fee$1,095.19
Specialist Fee$1,095.19

Effective: April 1, 2025

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