All codes
T582
T582 – T582
OHIP Other Code · Schedule of Benefits
When to Use
- Use T582 for the initial consultation of a patient with a suspected or confirmed malignancy when the assessment requires a comprehensive history and physical examination.
- Select T582 when providing a formal specialist consultation report to the referring physician for a new oncology-related diagnostic workup.
- Apply T582 instead of A005 when the complexity of the cancer assessment exceeds the scope of a standard intermediate assessment.
Common Pitfalls
- Billing T582 for a follow-up visit instead of the appropriate subsequent visit code, which will trigger an automatic rejection or audit recovery.
- Submitting T582 without a valid referring physician number, as this code strictly requires a formal referral to be eligible for payment.
- Attempting to bill T582 on the same day as a minor procedure code that includes the assessment in its fee structure, leading to a duplicate payment rejection.
Billing Tips
- Ensure the consultation note clearly documents the referral source and the specific clinical question to satisfy the Ministry's requirement for a formal consultation.
- If the patient requires a subsequent visit on the same day for a different unrelated condition, use the appropriate visit code with the 'IE' suffix to avoid conflict with the T582 claim.
Provider Fee$163.70
Specialist Fee$163.70
Effective: February 1, 2011
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.