All codes
T439
T439 – T439
OHIP Other Code · Schedule of Benefits
When to Use
- Use T439 for the initial consultation of a patient referred for a complex geriatric assessment when the criteria for a standard A005 or A007 consultation are met.
- Apply this code when performing a comprehensive assessment for a patient with multi-system disease where the complexity exceeds the scope of a standard internal medicine consultation (A130).
Common Pitfalls
- Billing T439 in conjunction with a minor assessment code (A001) on the same day for the same patient will trigger an automatic rejection.
- Failing to include a valid referring physician number or a valid referring facility code will result in immediate payment denial.
- Using T439 for a follow-up visit instead of the appropriate subsequent visit code (C439) is a common audit trigger.
Billing Tips
- Ensure the referral note explicitly outlines the complexity of the geriatric or multi-system condition to justify the higher fee compared to standard consultation codes.
- If the patient is seen in an inpatient setting, ensure you use the corresponding C-prefix code (C439) to avoid invalid service location errors.
Provider Fee$107.57
Specialist Fee$129.60
Effective: April 1, 2025
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