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T239
T239 – T239
OHIP Other Code · Schedule of Benefits
When to Use
- Use T239 for the formal assessment and management of a patient with a confirmed diagnosis of cystic fibrosis in a specialized clinic setting.
- Apply this code when providing comprehensive multidisciplinary care that exceeds the scope of a standard A007 or A005 office visit.
Common Pitfalls
- Billing T239 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 maintain the required multidisciplinary clinical notes will trigger an audit, as T239 implies a higher level of complexity than routine primary care.
Billing Tips
- Ensure the clinical record explicitly documents the cystic fibrosis diagnosis and the specific multidisciplinary interventions performed to justify the premium fee compared to standard consultation codes.
Provider Fee$487.78
Specialist Fee$487.78
Effective: February 1, 2011
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