All codes
T677
T677 – T677
OHIP Other Code · Schedule of Benefits
When to Use
- Use T677 for the surgical repair of a complex abdominal wall hernia where the procedure involves the use of prosthetic mesh.
- Apply this code when performing a ventral or incisional hernia repair that meets the complexity criteria defined in the Schedule of Benefits, distinguishing it from simpler primary repairs coded under T675 or T676.
Common Pitfalls
- Billing T677 in conjunction with an add-on code for mesh insertion is a common error, as the fee for T677 is intended to be comprehensive for the procedure.
- Submitting T677 for a simple umbilical hernia repair will trigger a rejection or audit, as these should be billed under lower-valued hernia repair codes.
Billing Tips
- Ensure the operative report explicitly details the size of the hernia defect and the specific type of mesh used to justify the complexity required for T677 reimbursement.
Provider Fee$1,250.00
Specialist Fee$1,250.00
Effective: February 1, 2011
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