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T437
T437 – T437
OHIP Other Code · Schedule of Benefits
When to Use
- Use T437 for the initial assessment and management of a patient presenting with a confirmed or suspected acute poisoning or toxic ingestion requiring immediate intervention.
- Apply this code when the clinical complexity of the toxicological presentation exceeds the scope of a standard consultation or assessment code like A007.
Common Pitfalls
- Do not bill T437 in conjunction with a standard consultation code (A007) for the same patient encounter, as this is considered unbundling.
- Avoid using T437 for routine follow-up visits related to the ingestion; subsequent care must be billed using appropriate subsequent visit codes (C002/C003).
Billing Tips
- Ensure the clinical record explicitly details the toxic agent and the specific interventions performed to justify the higher complexity fee compared to standard assessment codes.
Provider Fee$243.20
Specialist Fee$243.20
Effective: April 1, 2025
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