All codes
T436
T436 – T436
OHIP Other Code · Schedule of Benefits
When to Use
- Use T436 for the initial assessment and management of a patient presenting with a confirmed or suspected acute poisoning or toxic ingestion.
- Apply this code when the clinical encounter requires immediate stabilization and toxicological evaluation that exceeds the scope of a standard A007 or A005 assessment.
Common Pitfalls
- Do not bill T436 in conjunction with a standard office visit code (A007) for the same encounter, as this is considered unbundling.
- Avoid using T436 for routine follow-up visits related to the ingestion; subsequent visits should be billed using standard consultation or assessment codes based on the complexity of the care provided.
Billing Tips
- Ensure the clinical record explicitly details the toxic agent and the specific management steps taken to justify the higher fee compared to standard assessment codes.
Provider Fee$148.97
Specialist Fee$148.97
Effective: April 1, 2025
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