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T106
T106 – T106
OHIP Other Code · Schedule of Benefits
When to Use
- Use T106 for the initial consultation and assessment of a patient with a suspected or confirmed malignancy requiring a comprehensive oncological workup.
- Apply this code when performing a complex multidisciplinary evaluation that exceeds the scope of a standard A005 or A007 consultation.
Common Pitfalls
- Billing T106 in conjunction with a minor assessment code on the same day is frequently rejected; ensure the clinical documentation justifies the complexity of the T106 service.
- Submitting T106 without a valid referring physician number or failing to include the required diagnostic code for malignancy will result in an automatic rejection.
Billing Tips
- Ensure the referral note and your consultation report clearly detail the complexity of the oncological assessment to satisfy audit requirements for this high-value code.
Provider Fee$394.90
Specialist Fee$394.90
Effective: February 1, 2011
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