All codes
T333
T333 – T333
OHIP Other Code · Schedule of Benefits
When to Use
- Use T333 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 in the preceding 12 months.
- Use T333 when the patient requires a comprehensive assessment and management plan for a complex condition that falls within the scope of the surgical specialty fee schedule.
Common Pitfalls
- Billing T333 for a follow-up visit when the patient has been seen by you or a partner in the same group within the last 12 months, which should instead be billed as a minor assessment code.
- Attempting to bill T333 in conjunction with a procedural fee on the same day without clear documentation of a separate, distinct consultation service that meets the requirements for a full assessment.
Billing Tips
- Ensure the referral source is clearly documented and valid, as T333 requires a formal referral from a primary care provider or another specialist to be eligible for payment.
- If the patient is seen for a subsequent issue unrelated to the original referral, ensure the new referral is documented to justify a new T333 consultation rather than a follow-up visit.
Provider Fee$126.40
Specialist Fee$126.40
Effective: February 1, 2011
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