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T567
T567 – T567
OHIP Other Code · Schedule of Benefits
When to Use
- Use T567 for the professional fee associated with the initiation of a continuous ambulatory peritoneal dialysis (CAPD) program for a patient with end-stage renal disease.
- Apply this code when managing the comprehensive assessment and setup of the dialysis protocol, distinct from routine follow-up visits like K030 or A007.
Common Pitfalls
- Billing T567 in conjunction with a standard office visit code (A007) on the same day is often flagged for unbundling unless the visit is for a separate, unrelated clinical issue.
- Failure to include the appropriate diagnostic code for renal failure or dialysis dependency will result in an automatic rejection by the Ministry.
Billing Tips
- Ensure the clinical record clearly distinguishes the T567 procedure from ongoing maintenance dialysis management to avoid audit scrutiny regarding duplicate billing.
Provider Fee$659.42
Specialist Fee$659.42
Effective: February 1, 2011
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