All codes
T372
T372 – T372
OHIP Other Code · Schedule of Benefits
When to Use
- Use T372 for the initial consultation of a patient with a confirmed diagnosis of a malignant neoplasm requiring complex multidisciplinary planning.
- Apply this code when the consultation involves a comprehensive review of pathology and imaging to determine a definitive treatment strategy for a new cancer diagnosis.
Common Pitfalls
- Billing T372 in conjunction with a minor assessment code like A007 is a common rejection trigger, as the consultation fee is intended to be all-inclusive for that encounter.
- Submitting T372 without a valid referring physician number or failing to provide a formal consultation report to the referring provider will lead to automatic claim reversal.
Billing Tips
- Ensure the consultation report is dated the same day as the service to avoid audit discrepancies regarding the timing of the assessment.
Provider Fee$220.33
Specialist Fee$220.33
Effective: April 1, 2025
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