All codes
T903
T903 – T903
OHIP Other Code · Schedule of Benefits
When to Use
- Use T903 for the initial assessment and management of a patient presenting with a major burn injury requiring specialized care.
- Apply this code when the clinical encounter involves a comprehensive evaluation of burn surface area and depth that exceeds the scope of a standard A007 assessment.
Common Pitfalls
- Billing T903 in conjunction with a standard office visit code (A007) for the same encounter will trigger a rejection for duplicate service.
- Failing to document the total body surface area (TBSA) percentage often leads to claim reversal during post-payment audits.
Billing Tips
- Ensure the diagnosis code reflects the specific burn severity to justify the higher complexity fee compared to standard minor procedure codes.
Provider Fee$92.20
Specialist Fee$110.63
Effective: April 1, 2025
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