All codes
T334
T334 – T334
OHIP Other Code · Schedule of Benefits
When to Use
- Use T334 for the initial consultation of a patient with a suspected or confirmed malignancy when a formal written report is generated for the referring physician.
- Select T334 when the clinical complexity of the oncology assessment exceeds the scope of a standard A007 consultation, provided the patient meets the specific eligibility criteria for this specialist service.
Common Pitfalls
- Billing T334 in conjunction with a subsequent visit code like A005 on the same day is prohibited and will trigger an automatic rejection.
- Failing to include the referring physician's billing number or failing to provide a formal consultation report will lead to audit recovery of the fee.
Billing Tips
- Ensure the referral is documented as a formal request for consultation rather than a simple transfer of care to avoid downgrading to a lower-valued assessment code.
Provider Fee$161.79
Specialist Fee$161.79
Effective: April 1, 2025
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