All codes
B600
B600 – B600
OHIP Paediatrics Code · Schedule of Benefits
When to Use
- B600 is appropriate for a physician providing a comprehensive assessment and management plan for a patient with a newly diagnosed, complex condition requiring significant specialist input, such as a newly diagnosed malignancy requiring multi-disciplinary consultation.
- Use B600 when a patient requires a detailed assessment and management strategy for a chronic condition that has significantly deteriorated and requires extensive specialist intervention, exceeding the scope of routine follow-up.
- This code is suitable for a physician coordinating complex care for a patient with multiple comorbidities where a significant portion of the physician's time is dedicated to integrating specialist recommendations into a cohesive management plan.
Common Pitfalls
- Billing B600 for routine follow-up of stable chronic conditions that could be managed with more common assessment codes like A007 or K005.
- Submitting B600 when the patient's condition does not warrant a comprehensive specialist-level assessment, leading to potential audits for unnecessary service.
- Failing to adequately document the complexity of the patient's condition and the extensive specialist-level management provided, which is crucial for justifying the B600 claim.
Billing Tips
- Ensure the patient's medical record clearly outlines the specific specialist-level interventions and management strategies implemented that justify the B600 fee.
- B600 is intended for a single comprehensive assessment; do not bill it for multiple separate consultations or for services that could be billed using other OHIP codes.
Provider Fee$0.00
Specialist Fee$890.90
Effective: April 1, 2026
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