All codes
T230
T230 – T230
OHIP Other Code · Schedule of Benefits
When to Use
- Use T230 to bill for the professional component of a diagnostic test when the technical component is performed by a facility or another provider.
- Apply this code when submitting claims for specific laboratory or diagnostic services where the physician fee schedule requires a split-billing approach for the interpretation component.
Common Pitfalls
- Billing T230 in conjunction with a global fee code that already includes the professional component will result in an automatic rejection for duplicate billing.
- Failure to include the correct diagnostic code or referring physician information often leads to claim suspension, as T230 requires precise linkage to the underlying service.
Billing Tips
- Verify the specific Schedule of Benefits requirements for your specialty, as T230 is often restricted to specific diagnostic categories and may require a specific modifier to be paid correctly.
Provider Fee$0.00
Effective: February 1, 2011
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