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T414

T414T414

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T414 for the initial consultation of a patient referred for a specific psychiatric assessment when the consultation exceeds the scope of a standard A005 or A007 office visit.
  • Apply this code when performing a comprehensive psychiatric evaluation that requires a formal written report to the referring physician, distinguishing it from a simple follow-up visit.

Common Pitfalls

  • Billing T414 on the same day as a psychotherapy code like K007 or K005 is generally disallowed as the consultation fee is intended to cover the initial assessment work.
  • Submitting T414 without a valid referring physician number will result in an automatic rejection, as this is a consultation service requiring a formal referral.

Billing Tips

  • Ensure the referral source is clearly documented in the patient's chart to support the consultation status if audited, as T414 requires a formal request from another practitioner.
Provider Fee$48.90
Specialist Fee$48.90

Effective: April 1, 2025

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