All codes
T524
T524 – T524
OHIP Other Code · Schedule of Benefits
When to Use
- Use T524 for the initial consultation and assessment of a patient requiring a specialized cardiac electrophysiology procedure.
- Apply this code when performing a comprehensive evaluation for complex arrhythmias that necessitates a formal consultation report to the referring physician.
Common Pitfalls
- Billing T524 in conjunction with a standard office visit code (A007) for the same patient on the same day will trigger an automatic rejection.
- Failing to provide a formal, dictated consultation report to the referring provider is a frequent cause for audit recovery of this fee.
Billing Tips
- Ensure the referral source is clearly documented in the claim, as T524 requires a valid referral from another physician or nurse practitioner to be eligible for payment.
Provider Fee$628.57
Specialist Fee$628.57
Effective: February 1, 2011
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