All codes
T689
T689 – T689
OHIP Other Code · Schedule of Benefits
When to Use
- Use T689 for the professional fee associated with a specific complex surgical procedure as defined in the Schedule of Benefits, typically involving major reconstructive or specialized organ-based interventions.
- Apply this code when the clinical documentation confirms the completion of the full procedure scope, distinguishing it from partial or diagnostic-only codes like T688 or T690.
Common Pitfalls
- Billing T689 in conjunction with other surgical codes that are already included in the global fee structure, which will trigger automatic rejection for unbundling.
- Failing to append the required diagnostic code that justifies the medical necessity of a high-value procedure, leading to manual review or audit flags.
Billing Tips
- Ensure that any additional intraoperative services that are not part of the T689 global period are billed with the appropriate 'M' prefix or modifier to avoid claim denial.
Provider Fee$1,600.00
Specialist Fee$1,600.00
Effective: February 1, 2011
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.