All codes
T391
T391 – T391
OHIP Other Code · Schedule of Benefits
When to Use
- Use T391 for the initial consultation of a patient with a suspected or confirmed malignancy when the assessment requires a comprehensive review of diagnostic investigations.
- Apply this code when performing a formal oncology consultation that exceeds the complexity of a standard A005 or A007 assessment.
Common Pitfalls
- Billing T391 for a follow-up visit instead of a subsequent visit code, which will trigger an automatic rejection or audit flag.
- Submitting T391 without the required referring physician billing number, as this is a mandatory field for all consultation codes.
Billing Tips
- Ensure the consultation note clearly documents the referral source and the specific clinical question to justify the higher fee compared to standard assessment codes.
Provider Fee$220.33
Specialist Fee$220.33
Effective: April 1, 2025
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