All codes
T481
T481 – T481
OHIP Other Code · Schedule of Benefits
When to Use
- Use T481 for the surgical repair of a complete or incomplete rupture of the Achilles tendon.
- Apply this code when performing an open repair of a fresh or acute Achilles tendon rupture requiring primary suture or reconstruction.
Common Pitfalls
- Do not bill T481 in conjunction with minor procedure codes like S062, as the global surgical fee for T481 includes the initial assessment and post-operative care.
- Avoid billing T481 if the procedure is limited to percutaneous repair, as this code specifically covers open surgical intervention.
Billing Tips
- Ensure the operative report clearly details the extent of the tendon disruption to justify the use of T481 over less invasive or non-surgical management codes.
- If an additional unrelated procedure is performed during the same session, ensure it is appended with the appropriate diagnostic code and modifier to avoid automatic rejection for duplicate service.
Provider Fee$679.90
Specialist Fee$679.90
Effective: April 1, 2025
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