All codes
T234
T234 – T234
OHIP Other Code · Schedule of Benefits
When to Use
- Use T234 for the initial consultation of a patient with a confirmed diagnosis of a malignant neoplasm requiring complex multidisciplinary planning.
- Apply this code when the clinical assessment involves a comprehensive review of diagnostic imaging and pathology reports that necessitates a formal treatment plan discussion.
Common Pitfalls
- Billing T234 in conjunction with a standard office visit code (A007) for the same patient on the same day will result in a rejection for duplicate service.
- Failure to include the mandatory diagnostic code representing the malignant neoplasm will lead to an automatic claim rejection.
Billing Tips
- Ensure the referral source is clearly documented in the claim submission, as T234 requires a valid referring physician number to be processed successfully.
Provider Fee$311.75
Specialist Fee$311.75
Effective: February 1, 2011
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