All codes
T624
T624 – T624
OHIP Other Code · Schedule of Benefits
When to Use
- Use T624 for the initial consultation of a patient with a suspected or confirmed malignancy when the assessment requires a comprehensive history and physical examination.
- Apply this code when providing a formal specialist opinion for a patient referred by another physician for oncological management, provided the patient has not been seen by your specialty for this condition within the previous 12 months.
Common Pitfalls
- Billing T624 when the patient has been seen by your specialty for the same diagnosis within the last year, which should be billed as a subsequent assessment code instead.
- Submitting T624 without a valid referring physician number, as this is a consultation code requiring a formal referral to be valid for payment.
Billing Tips
- Ensure the referral request is documented in the patient chart prior to the visit, as OHIP auditors frequently cross-reference the referral date with the T624 service date.
Provider Fee$68.20
Specialist Fee$68.20
Effective: February 1, 2011
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