All codes
T581
T581 – T581
OHIP Other Code · Schedule of Benefits
When to Use
- Use T581 for the initial consultation of a patient with a suspected or confirmed malignancy when the assessment requires a comprehensive review of diagnostic investigations.
- Select T581 when providing a formal specialist opinion for a complex oncological case that does not meet the criteria for a more specific diagnostic or procedural code.
Common Pitfalls
- Billing T581 in conjunction with a minor assessment code like A007 for the same patient on the same day will trigger an automatic rejection.
- Submitting T581 without a valid referring physician number or failing to include the required diagnostic code for the malignancy will result in a claim error.
Billing Tips
- Ensure the consultation note explicitly details the oncological focus to justify the specialist fee over a standard A005 or A007 assessment.
Provider Fee$91.00
Specialist Fee$91.00
Effective: February 1, 2011
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