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T813

T813T813

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T813 as a diagnostic code to indicate a post-procedural hemorrhage or hematoma complicating a procedure when submitting claims for additional surgical interventions.
  • Apply this code when documenting complications that require a return to the operating room or additional bedside procedures to manage post-operative bleeding.

Common Pitfalls

  • Do not bill T813 as a standalone service code, as it is a diagnostic indicator that must be linked to a specific procedural fee code.
  • Avoid using T813 for minor post-operative oozing that is managed within the global surgical period, as this is considered part of the original procedure's fee.

Billing Tips

  • Ensure T813 is correctly mapped to the secondary diagnosis field in your billing software to justify the medical necessity of additional procedural codes like S001 or S002.
Provider Fee$0.01
Specialist Fee$0.01

Effective: March 1, 2007

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