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T671

T671T671

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T671 for the specific surgical procedure of a total hip replacement when performed as a primary elective intervention.
  • Select T671 when the clinical documentation confirms the implantation of a prosthetic hip device following a diagnosis of degenerative joint disease.

Common Pitfalls

  • Billing T671 in conjunction with a consultation code on the same day is frequently rejected unless a separate, distinct clinical issue is documented.
  • Submitting T671 without the mandatory associated diagnostic code for osteoarthritis or avascular necrosis will result in an automatic claim rejection.

Billing Tips

  • Ensure that any applicable surgical tray fees or additional hardware premiums are billed as separate line items if permitted under the Schedule of Benefits to avoid under-billing the procedure.
Provider Fee$1,000.00
Specialist Fee$1,000.00

Effective: February 1, 2011

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