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T109

T109T109

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T109 for the initial consultation of a patient with a suspected or confirmed malignancy when the service is provided by a specialist in medical oncology or hematology.
  • Select T109 when the complexity of the malignancy assessment requires a comprehensive review of diagnostic imaging, pathology reports, and treatment planning that exceeds the scope of a standard A005 consultation.

Common Pitfalls

  • Billing T109 in conjunction with a subsequent visit code like A007 on the same day is a common rejection trigger unless specific criteria for a separate, unrelated problem are met.
  • Submitting T109 without a valid referring physician number or failing to include the required diagnostic code for the malignancy will result in an automatic claim rejection.

Billing Tips

  • Ensure the consultation note clearly documents the time spent and the complexity of the decision-making process to justify the higher fee compared to standard consultation codes.
Provider Fee$263.00
Specialist Fee$263.00

Effective: February 1, 2011

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