All codes
T443
T443 – T443
OHIP Other Code · Schedule of Benefits
When to Use
- Use T443 for the surgical repair of a complete or incomplete rupture of the Achilles tendon.
- Apply this code when performing an open primary repair of an acute Achilles tendon rupture in a hospital setting.
Common Pitfalls
- Billing T443 alongside an assessment code (A007) on the same day is often rejected unless a distinct, unrelated clinical issue is addressed and documented.
- Do not bill T443 if the procedure is a revision of a previous repair; use the appropriate revision-specific code instead to avoid audit flags for incorrect complexity billing.
Billing Tips
- Ensure the operative report explicitly details the rupture site and the repair technique, as this is the primary documentation required to justify the T443 fee during a post-payment audit.
Provider Fee$1,680.65
Specialist Fee$1,680.65
Effective: April 1, 2025
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