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T410

T410T410

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T410 for the initial consultation of a patient referred for a formal assessment of a suspected or confirmed malignancy.
  • Apply this code when the patient has not been previously seen by you for the same malignancy within the preceding 12 months.

Common Pitfalls

  • Billing T410 in conjunction with a minor assessment code like A007 is a common rejection; the consultation fee is intended to be comprehensive.
  • Submitting T410 without a valid referring physician number or a valid referring facility code will result in an automatic rejection.

Billing Tips

  • Ensure the referral note is dated prior to the T410 service date to satisfy the Ministry's requirement for a formal consultation request.
Provider Fee$139.78
Specialist Fee$139.78

Effective: April 1, 2025

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