All codes
T673
T673 – T673
OHIP Other Code · Schedule of Benefits
When to Use
- Use T673 for the surgical repair of a complete or partial tear of the Achilles tendon, specifically when performed as an open procedure.
- Select T673 instead of minor procedure codes like Z123 when the clinical documentation confirms formal surgical repair involving suturing or reconstruction of the tendon.
Common Pitfalls
- Billing T673 in conjunction with an assessment code on the same day is often rejected unless a distinct, unrelated clinical issue is documented and appended with the appropriate diagnostic code.
- Submitting T673 without the mandatory surgical report or operative note in the patient chart will trigger an automatic recovery during a post-payment audit.
Billing Tips
- Ensure the operative report explicitly details the tendon repair technique, as T673 is a high-value code frequently flagged for review to confirm the complexity matches the fee.
Provider Fee$1,250.00
Specialist Fee$1,250.00
Effective: February 1, 2011
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