All codes
T743
T743 – T743
OHIP Other Code · Schedule of Benefits
When to Use
- Use T743 for the surgical repair of a complete or incomplete rupture of the Achilles tendon.
- Apply this code when performing an open primary repair of an acute Achilles tendon rupture in an operating room setting.
Common Pitfalls
- Billing T743 alongside a diagnostic arthroscopy or unrelated procedure in the same operative field is often rejected as bundled.
- Failure to document the specific nature of the rupture (e.g., complete vs. partial) can lead to audit scrutiny regarding the necessity of the open repair versus conservative management.
Billing Tips
- Ensure the operative report explicitly details the tendon repair technique, as this code is strictly for the repair procedure and does not include separate fees for routine debridement or local anesthesia.
Provider Fee$792.71
Specialist Fee$792.71
Effective: February 1, 2011
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