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T678

T678T678

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T678 for the initial assessment and management of a patient presenting with acute complex multisystem trauma requiring immediate stabilization.
  • Apply this code when the clinical intervention exceeds the scope of a standard consultation (A005) due to the necessity of immediate life-saving procedures.

Common Pitfalls

  • Billing T678 in conjunction with a standard office visit (A007) is a common cause for rejection as the code is intended to be comprehensive for the encounter.
  • Failure to document the specific time-based criteria or the complexity of the trauma intervention often leads to automatic audit flags.

Billing Tips

  • Ensure that the diagnostic code associated with T678 reflects the severity of the trauma, as using a minor diagnostic code will trigger a manual review.
Provider Fee$500.00
Specialist Fee$500.00

Effective: February 1, 2011

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