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T202
T202 – T202
OHIP Other Code · Schedule of Benefits
When to Use
- Use T202 for the initial assessment and management of a patient with a confirmed diagnosis of acute leukemia, including the initiation of complex chemotherapy protocols.
- Apply this code when performing a comprehensive consultation for a patient with newly diagnosed hematologic malignancy requiring immediate multidisciplinary treatment planning.
Common Pitfalls
- Do not bill T202 in conjunction with a standard consultation code like A005; the T-series code is intended to be all-inclusive for the initial intensive management phase.
- Avoid billing T202 for routine follow-up visits or maintenance therapy, as these should be billed using standard office visit codes or specific chemotherapy supervision codes.
Billing Tips
- Ensure the clinical record explicitly documents the diagnosis of acute leukemia and the specific treatment plan initiated to justify the high-value fee compared to standard consultation codes.
Provider Fee$628.78
Specialist Fee$628.78
Effective: February 1, 2011
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