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B606
B606 – B606
OHIP Paediatrics Code · Schedule of Benefits
When to Use
- Use B606 for the initial consultation and comprehensive assessment of a patient referred for a complex cardiac condition requiring advanced diagnostic imaging or intervention.
- B606 is appropriate for the management of a patient with a newly diagnosed, high-risk cardiac arrhythmia requiring immediate initiation of specialized treatment protocols.
- Bill B606 when a patient presents with acute, severe heart failure symptoms necessitating urgent cardiac catheterization or surgical evaluation.
Common Pitfalls
- Billing B606 for routine follow-up visits for stable cardiac conditions; these should be billed with appropriate follow-up codes like K005 or K013.
- Submitting B606 when the primary reason for the visit is a non-cardiac issue, even if a cardiac condition is present but not the focus of management.
- Failure to document the complexity and the specific advanced interventions or diagnostics that justify the higher fee associated with B606.
Billing Tips
- Ensure the patient's referral documentation clearly outlines the complex cardiac issue and the need for specialized management to support the B606 claim.
- Verify that the services provided align with the definition of a comprehensive cardiac assessment and management, distinct from standard outpatient cardiology visits.
Provider Fee$0.00
Specialist Fee$4,572.10
Effective: April 1, 2026
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