All codes
T607
T607 – T607
OHIP Other Code · Schedule of Benefits
When to Use
- Use T607 for the initial consultation of a patient with a confirmed diagnosis of malignant neoplasm when the service involves a comprehensive assessment and treatment planning.
- Apply this code when providing a formal specialist consultation for a patient referred by another physician specifically for the management of a new cancer diagnosis.
Common Pitfalls
- Billing T607 in conjunction with a minor assessment code like A007 for the same patient on the same day will trigger an automatic rejection.
- Submitting T607 without a valid referring physician billing number or failing to document the formal referral request will lead to claim reversal during post-payment audits.
Billing Tips
- Ensure the consultation note explicitly details the complexity of the malignancy and the multi-disciplinary treatment plan to justify the higher fee compared to a standard A005 consultation.
Provider Fee$676.20
Specialist Fee$676.20
Effective: February 1, 2011
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.