All codes
T102
T102 – T102
OHIP Other Code · Schedule of Benefits
When to Use
- Use T102 for the initial consultation of a patient with a confirmed diagnosis of malignant disease, including the comprehensive review of pathology and staging.
- Apply this code when the consultation requires a detailed discussion of complex treatment options, such as chemotherapy or radiation, that necessitates a formal consultation report.
Common Pitfalls
- Billing T102 for a follow-up visit instead of a subsequent visit code like A005; T102 is strictly for the initial consultation.
- Submitting T102 without a formal, dictated consultation report on file, which is a mandatory requirement for this high-value fee code during an audit.
Billing Tips
- Ensure the referral source is clearly documented and valid, as T102 requires a formal request from another physician or practitioner to be eligible for payment.
Provider Fee$394.90
Specialist Fee$394.90
Effective: February 1, 2011
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