All codes
T541
T541 – T541
OHIP Other Code · Schedule of Benefits
When to Use
- Use T541 for the definitive surgical repair of a ruptured or lacerated tendon of the hand or wrist requiring primary suture.
- Apply this code when performing a primary repair of a flexor or extensor tendon that necessitates formal operative intervention in an operating room setting.
Common Pitfalls
- Do not bill T541 in conjunction with minor laceration repairs (e.g., G800 series) as the tendon repair is considered the primary procedure and includes the closure of the overlying skin.
- Avoid billing T541 if the procedure is limited to simple tenorrhaphy performed in a minor procedure room, as this may be subject to audit if the complexity does not support the operative fee.
Billing Tips
- Ensure the operative report explicitly details the tendon involved and the technique used, as this code is frequently flagged for review to confirm the complexity of the repair.
Provider Fee$1,321.18
Specialist Fee$1,321.18
Effective: February 1, 2011
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