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T270

T270T270

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T270 for the initial assessment and management of a patient with a confirmed diagnosis of diabetes mellitus requiring a comprehensive care plan.
  • Apply this code when performing a periodic review of a patient's diabetes management plan that necessitates a significant adjustment in therapy or clinical approach.

Common Pitfalls

  • Billing T270 on the same day as a general assessment code like A007 or A005 will result in a rejection for duplicate service.
  • Submitting T270 for routine follow-up visits that do not meet the criteria for a comprehensive diabetes management review will trigger audit flags for inappropriate code selection.

Billing Tips

  • Ensure the clinical record explicitly details the diabetes management plan components to justify the T270 fee over a standard minor assessment code.
Provider Fee$118.47
Specialist Fee$118.47

Effective: February 1, 2011

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