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T665
T665 – T665
OHIP Other Code · Schedule of Benefits
When to Use
- Use T665 for the initial assessment and management of a patient presenting with a minor burn injury that does not require the extensive procedural intervention associated with T666.
- Apply this code when the clinical encounter involves the evaluation and dressing of a superficial or partial-thickness burn that falls outside the scope of a standard minor assessment (A007).
Common Pitfalls
- Billing T665 in conjunction with a minor assessment (A007) is a common cause for rejection as the OHIP Schedule of Benefits considers the assessment bundled into the burn care fee.
- Submitting T665 for burns requiring extensive debridement or complex dressing changes may lead to audit scrutiny if the documentation does not support the complexity of the service provided.
Billing Tips
- Ensure the clinical note explicitly details the total body surface area (TBSA) and the depth of the burn to justify the use of T665 over a standard office visit code.
Provider Fee$32.38
Specialist Fee$32.38
Effective: April 1, 2025
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