All codes
T029
T029 – T029
OHIP Other Code · Schedule of Benefits
When to Use
- Use T029 for the initial consultation of a patient with a confirmed diagnosis of a malignant neoplasm requiring a comprehensive multidisciplinary management plan.
- Apply this code when the complexity of the malignancy requires a detailed review of pathology, imaging, and staging that exceeds the scope of a standard A005 or A007 consultation.
Common Pitfalls
- Billing T029 when the patient has already been seen for the same condition by a physician in the same group, which should instead be billed as a follow-up visit.
- Failing to include the mandatory referring physician information, which will result in an automatic rejection of the claim.
Billing Tips
- Ensure the clinical record explicitly documents the complexity of the malignancy and the multidisciplinary nature of the care plan to justify the higher fee compared to standard consultation codes.
Provider Fee$517.44
Specialist Fee$517.44
Effective: February 1, 2011
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.