All codes
T310
T310 – T310
OHIP Other Code · Schedule of Benefits
When to Use
- Use T310 for the initial consultation of a patient referred for a specific surgical or procedural assessment when the patient has not been seen by your specialty for this condition within the previous 12 months.
- Apply this code when providing a comprehensive specialist assessment that includes a detailed history, physical examination, and a written report to the referring physician, provided the criteria for a consultation are met.
Common Pitfalls
- Billing T310 when the patient has been seen by you or a partner in the same group for the same condition within the last year, which should be billed as a repeat assessment (A007) instead.
- Submitting T310 without a valid referral from a primary care provider or another specialist, as the absence of a formal referral will trigger an automatic rejection.
Billing Tips
- Ensure your documentation explicitly states the referring physician's name and billing number to satisfy audit requirements for the consultation claim.
- If the patient requires a follow-up visit for the same condition, switch to the appropriate follow-up code (A007) to avoid claim rejections associated with duplicate consultation billing.
Provider Fee$145.00
Specialist Fee$145.00
Effective: February 1, 2011
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