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T464

T464T464

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T464 for the surgical repair of a ruptured or lacerated tendon of the hand or wrist involving a single tendon.
  • Apply this code when performing a primary repair of an extensor or flexor tendon that requires formal surgical exploration and suturing in an operating room setting.

Common Pitfalls

  • Do not bill T464 in conjunction with minor procedure codes like S062, as the surgical repair fee is intended to be comprehensive for the procedure.
  • Avoid billing T464 for simple tendon debridement or tenolysis, which are more appropriately captured under codes like T462 or T463.

Billing Tips

  • Ensure the operative report clearly specifies the tendon involved and the technique used, as this code is frequently audited for documentation of the repair complexity.
Provider Fee$621.56
Specialist Fee$621.56

Effective: April 1, 2025

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