All codes
T458
T458 – T458
OHIP Other Code · Schedule of Benefits
When to Use
- Use T458 for the initial consultation and assessment of a patient requiring a complex multidisciplinary team conference for palliative care planning.
- Apply this code when coordinating care for a patient with a life-limiting illness where the conference duration meets the minimum time requirements specified in the Schedule of Benefits.
Common Pitfalls
- Billing T458 in conjunction with a standard office visit code (A007) for the same patient on the same day is often flagged for audit unless the services are distinct and clearly documented as separate encounters.
- Failure to document the names and roles of all participating multidisciplinary team members will result in a clawback during a Ministry audit.
Billing Tips
- Ensure the total time spent in the conference is clearly recorded in the chart, as T458 is time-dependent and requires specific documentation of the start and end times to justify the fee.
Provider Fee$214.74
Specialist Fee$214.74
Effective: February 1, 2011
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