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T750
T750 – T750
OHIP Other Code · Schedule of Benefits
When to Use
- Use T750 for the initial assessment and management of a patient with a severe, acute burn injury requiring specialized intervention.
- Apply this code when the clinical complexity of the burn management exceeds the scope of a standard consultation (A005) or minor procedure code.
- Utilize T750 when coordinating multidisciplinary care for extensive burns that necessitate immediate stabilization and complex treatment planning.
Common Pitfalls
- Billing T750 in conjunction with a standard consultation (A005) for the same patient encounter will trigger an automatic rejection for duplicate service.
- Failure to document the total body surface area (TBSA) and depth of the burn can lead to audit recovery if the complexity does not justify the high-value fee.
- Submitting T750 for routine follow-up visits instead of appropriate subsequent visit codes (C002/C003) is a frequent cause of claim adjustment.
Billing Tips
- Ensure the clinical notes explicitly detail the severity and management plan to support the high-intensity nature of the T750 service.
- If the patient requires subsequent daily management, transition to the appropriate inpatient or outpatient visit codes rather than attempting to re-bill T750.
Provider Fee$792.71
Specialist Fee$792.71
Effective: February 1, 2011
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