All codes
T611
T611 – T611
OHIP Other Code · Schedule of Benefits
When to Use
- Use T611 for the primary repair of a full-thickness laceration of the eyelid involving the eyelid margin, which requires meticulous layered reconstruction to prevent lid notching.
- Apply this code when performing a complex eyelid repair that necessitates the use of specialized techniques like a modified Hughes or Cutler-Beard procedure to restore structural integrity.
Common Pitfalls
- Billing T611 in conjunction with a simple superficial laceration repair code like E542 is considered unbundling, as the complex repair code is intended to be all-inclusive.
- Submitting T611 for minor eyelid injuries that do not involve the tarsus or lid margin will lead to automatic rejection or recovery during an audit.
Billing Tips
- Ensure the operative report explicitly details the involvement of the eyelid margin and the specific reconstructive technique used, as this is the primary justification for the higher fee compared to standard laceration repairs.
Provider Fee$327.40
Specialist Fee$327.40
Effective: February 1, 2011
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