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T201
T201 – T201
OHIP Other Code · Schedule of Benefits
When to Use
- Use T201 for the initial assessment and management of a patient with a confirmed diagnosis of acute leukemia or aplastic anemia.
- Apply this code when initiating a complex treatment plan for a patient with a hematologic malignancy that requires intensive monitoring.
Common Pitfalls
- Billing T201 in conjunction with a standard consultation code like A005 is a common error, as T201 is intended to be a comprehensive fee for the specific condition.
- Submitting T201 for routine follow-up visits instead of using the appropriate subsequent visit codes will result in automatic rejection by the Ministry.
Billing Tips
- Ensure the clinical record clearly reflects the diagnosis of acute leukemia or aplastic anemia to support the higher value of T201 compared to standard consultation codes.
Provider Fee$432.85
Specialist Fee$432.85
Effective: February 1, 2011
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