All codes
T337
T337 – T337
OHIP Other Code · Schedule of Benefits
When to Use
- Use T337 for the initial consultation of a patient with a suspected or confirmed malignancy when the assessment requires a comprehensive review of systems and diagnostic findings.
- Apply this code when the complexity of the oncological workup exceeds the scope of a standard A007 consultation, specifically when coordinating multi-disciplinary care pathways.
Common Pitfalls
- Billing T337 in conjunction with a minor assessment code like A001 on the same day is prohibited and will trigger an automatic rejection.
- Failure to include the referring physician's billing number on the claim will result in a rejection, as T337 requires a valid referral to be processed.
Billing Tips
- Ensure the clinical note clearly reflects the complexity of the oncological assessment to justify the higher fee compared to standard consultation codes like A005 or A007.
Provider Fee$234.90
Specialist Fee$281.90
Effective: February 1, 2011
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