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T620
T620 – T620
OHIP Other Code · Schedule of Benefits
When to Use
- Use T620 for the initial assessment and management of a patient with a confirmed diagnosis of acute or chronic renal failure requiring dialysis initiation.
- Apply this code when performing a comprehensive consultation for a patient with complex electrolyte disturbances or acid-base disorders that necessitate immediate nephrological intervention.
Common Pitfalls
- Do not bill T620 in conjunction with a general internal medicine consultation code (A130) for the same patient encounter, as this will trigger a duplicate service rejection.
- Avoid using T620 for routine follow-up visits; these must be billed using the appropriate subsequent visit codes (C130 or C132) to avoid audit flags for inappropriate code selection.
Billing Tips
- Ensure the clinical record clearly reflects the complexity of the renal failure or metabolic disorder to justify the higher fee associated with T620 compared to standard consultation codes.
Provider Fee$113.80
Specialist Fee$113.80
Effective: February 1, 2011
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