All codes
T623
T623 – T623
OHIP Other Code · Schedule of Benefits
When to Use
- Use T623 for the initial assessment and management of a patient presenting with a specific acute minor trauma or injury requiring a focused examination.
- Select T623 when the service provided is a discrete, time-limited encounter that does not meet the complexity requirements for a comprehensive assessment (A007) or a minor procedure (G-codes).
Common Pitfalls
- Billing T623 in conjunction with a major assessment code (A007) on the same day for the same patient is a common cause for claim rejection due to unbundling rules.
- Failing to document the specific injury site or mechanism of injury can lead to audit recovery, as T623 is frequently flagged for lacking sufficient clinical justification for the visit.
Billing Tips
- Ensure that the diagnostic code linked to T623 accurately reflects the acute nature of the injury to avoid automated rejections for chronic condition management.
Provider Fee$68.20
Specialist Fee$68.20
Effective: February 1, 2011
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