All codes
T349
T349 – T349
OHIP Other Code · Schedule of Benefits
When to Use
- Use T349 for the initial consultation of a patient with a suspected or confirmed malignancy when a comprehensive assessment is required.
- Apply this code when the consultation involves a complex multidisciplinary review of diagnostic imaging, pathology reports, and staging investigations.
Common Pitfalls
- Billing T349 on the same day as a minor procedure or a general assessment code (A007) will result in a rejection for duplicate service.
- Failing to include the referring physician's billing number on the claim is the most frequent cause of payment rejection for this consultation code.
Billing Tips
- Ensure the consultation note explicitly documents the referral request and the clinical complexity to justify the higher fee compared to a standard A007 assessment.
Provider Fee$309.20
Specialist Fee$309.20
Effective: February 1, 2011
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