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T912

T912T912

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T912 for the initial assessment and management of a patient presenting with a major trauma or multi-system injury requiring immediate stabilization.
  • Apply this code when the complexity of the trauma assessment exceeds the scope of a standard A007 or A005 consultation due to the need for rapid, coordinated intervention.

Common Pitfalls

  • Billing T912 in conjunction with a standard office visit code like A007 is a common rejection trigger as it is intended to be the primary assessment code for the encounter.
  • Failure to document the specific multi-system nature of the trauma often leads to audit recovery, as the code requires evidence of complexity beyond a single-system injury.

Billing Tips

  • Ensure the clinical record clearly delineates the time spent on stabilization and the specific trauma-related interventions performed to justify the higher fee compared to standard consultation codes.
Provider Fee$251.60
Specialist Fee$301.91

Effective: November 1, 2017

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