All codes
T330
T330 – T330
OHIP Other Code · Schedule of Benefits
When to Use
- Use T330 for the initial consultation of a patient with a suspected or confirmed malignancy when the assessment requires a comprehensive history and physical examination.
- Select T330 when providing a formal oncological assessment for a new patient referral, provided the service does not meet the criteria for a more complex consultation code like A005.
- Apply T330 for a detailed reassessment of a patient's oncological status if the patient has been discharged from active follow-up or has developed a new, distinct primary malignancy.
Common Pitfalls
- Billing T330 on the same day as a minor procedure or a different assessment code for the same patient often leads to automatic rejection for duplicate service.
- Using T330 for routine follow-up visits instead of the appropriate follow-up code (e.g., A007) will trigger an audit for inappropriate billing of a consultation fee.
- Failing to include the referring physician's billing number on the claim will result in an immediate rejection, as T330 requires a formal referral.
Billing Tips
- Ensure the clinical note clearly documents the referral source and the specific oncological question being addressed to justify the consultation fee over a standard office visit.
- If the patient requires an urgent assessment, consider whether the clinical complexity warrants a higher-value consultation code before defaulting to T330.
Provider Fee$34.60
Specialist Fee$41.60
Effective: February 1, 2011
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