All codes
T336
T336 – T336
OHIP Other Code · Schedule of Benefits
When to Use
- Use T336 for the initial consultation of a patient referred for a complex surgical or medical assessment that requires a comprehensive evaluation beyond a standard office visit.
- Apply this code when the clinical complexity necessitates a detailed review of records and a formal written report to the referring physician, distinguishing it from a standard A007 or A005 assessment.
Common Pitfalls
- Billing T336 for a patient who has been seen by the same physician or a partner in the same group for the same diagnosis within the preceding 12 months, which triggers an automatic rejection.
- Submitting T336 without a formal, dated referral from a primary care provider or another specialist, as the Ministry requires proof of referral for all consultation codes.
Billing Tips
- Ensure the clinical note explicitly justifies the complexity of the consultation to support the higher fee compared to a standard assessment code like A007.
Provider Fee$234.90
Specialist Fee$281.90
Effective: February 1, 2011
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