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T504
T504 – T504
OHIP Other Code · Schedule of Benefits
When to Use
- Use T504 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 providing comprehensive toxicological evaluation in an emergency setting, provided the complexity exceeds the scope of a standard A007 or A005 assessment.
Common Pitfalls
- Billing T504 in conjunction with other emergency department visit codes (A007/A005) for the same patient encounter will result in an automatic rejection for duplicate service.
- Failure to document the specific toxic agent or the clinical severity of the ingestion often leads to recovery during Ministry audits.
Billing Tips
- Ensure the clinical note explicitly details the toxicological assessment, including vital signs, neurological status, and the specific management plan initiated to justify the higher fee compared to standard visit codes.
Provider Fee$131.51
Specialist Fee$131.51
Effective: February 1, 2011
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