All codes
T454
T454 – T454
OHIP Other Code · Schedule of Benefits
When to Use
- Use T454 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 an operating room setting.
Common Pitfalls
- Do not bill T454 in conjunction with minor surgical procedures or local debridement codes that are considered integral to the primary repair.
- Avoid billing T454 if the procedure is performed percutaneously, as this may require a different code or a specific manual assessment depending on the surgical technique used.
Billing Tips
- Ensure the operative report clearly documents the open nature of the repair to justify the T454 fee over less invasive procedural codes.
- If additional procedures are performed during the same operative session, verify the Schedule of Benefits for applicable multiple procedure rules or potential fee reductions.
Provider Fee$331.76
Specialist Fee$331.76
Effective: February 1, 2011
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