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T927
T927 – T927
OHIP Other Code · Schedule of Benefits
When to Use
- Use T927 for the initial assessment and management of a patient presenting with a minor laceration requiring simple suturing.
- Apply this code when the clinical encounter is focused exclusively on the repair of a single wound that does not meet the complexity criteria for A001 or A002.
Common Pitfalls
- Billing T927 in addition to a general assessment code like A001 is a common rejection, as the fee is intended to be comprehensive for the procedure.
- Submitting T927 for complex repairs involving deep tissue or multiple layers will lead to under-billing; use the appropriate surgical tray or repair codes instead.
Billing Tips
- Ensure the clinical note clearly describes the length and location of the laceration to justify the use of T927 over a standard office visit code.
Provider Fee$67.87
Specialist Fee$81.42
Effective: February 1, 2011
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