All codes
T232
T232 – T232
OHIP Other Code · Schedule of Benefits
When to Use
- Use T232 for the formal consultation of a patient referred by another physician or nurse practitioner for a comprehensive assessment of a complex condition.
- Apply this code when the consultation requires a written report back to the referring provider, distinguishing it from a simple A007 assessment.
Common Pitfalls
- Billing T232 when the patient has been seen by the same physician or a partner in the same group for the same diagnosis within the previous 12 months, which should be billed as an A005 instead.
- Submitting T232 without a formal referral request on file, as the Ministry requires documented evidence of the referral to validate the consultation fee.
Billing Tips
- Ensure the referring physician's billing number is included in the claim submission to prevent automatic rejection of the consultation fee.
Provider Fee$390.23
Specialist Fee$390.23
Effective: February 1, 2011
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