All codes
T445
T445 – T445
OHIP Other Code · Schedule of Benefits
When to Use
- Use T445 for the initial consultation and assessment of a patient with a confirmed diagnosis of a malignant neoplasm requiring complex oncological management.
- Apply this code when performing a comprehensive review of pathology, staging, and treatment planning for a new cancer diagnosis that necessitates a multidisciplinary approach.
Common Pitfalls
- Billing T445 in conjunction with a general consultation code like A005 is a common rejection; the Schedule of Benefits dictates that T445 is inclusive of the initial assessment.
- Submitting T445 without a valid diagnostic code corresponding to a malignant neoplasm will trigger an automatic rejection or audit flag.
Billing Tips
- Ensure the referral note is clearly documented in the chart, as T445 requires a formal request from another physician to be eligible for payment.
Provider Fee$297.92
Specialist Fee$297.92
Effective: April 1, 2025
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