All codes
T338
T338 – T338
OHIP Other Code · Schedule of Benefits
When to Use
- Use T338 for the formal assessment and management of a patient with a confirmed diagnosis of malignant neoplasm when providing a comprehensive consultation.
- Select T338 instead of a standard A007 consultation when the complexity of the oncological assessment meets the criteria for a major consultation fee.
Common Pitfalls
- Billing T338 in conjunction with a minor assessment code on the same day for the same patient will trigger an automatic rejection.
- Failing to include a valid referring physician number or failing to provide a written report to the referring physician will lead to a clawback during audit.
Billing Tips
- Ensure the clinical notes explicitly detail the oncological staging and treatment plan to justify the higher fee compared to a standard consultation code.
Provider Fee$234.90
Specialist Fee$281.90
Effective: February 1, 2011
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