All codes
T610
T610 – T610
OHIP Other Code · Schedule of Benefits
When to Use
- Use T610 for a formal consultation requested by a referring physician for a patient with a complex hematological condition requiring a comprehensive assessment.
- Select T610 when the patient has not been seen by your specialty for the same condition within the preceding 12 months, meeting the criteria for a new consultation.
- Apply T610 when providing a written report to the referring physician that includes a detailed history, physical examination, and a formal management plan.
Common Pitfalls
- Billing T610 for a patient who has been seen by your specialty for the same condition within the last 12 months, which should be billed as a repeat assessment (A007 or equivalent).
- Submitting T610 without a formal written request from a referring physician, as this is a mandatory requirement for all consultation codes.
- Failing to include the referring physician's billing number on the claim, which will trigger an automatic rejection.
Billing Tips
- Ensure the consultation report is sent to the referring physician promptly, as the Ministry may audit the existence of this documentation to validate the T610 claim.
- If the patient requires a follow-up visit for the same condition within the same year, switch to the appropriate follow-up code (e.g., A007) to avoid claim rejections for duplicate consultations.
Provider Fee$152.40
Specialist Fee$152.40
Effective: February 1, 2011
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