All codes
T632
T632 – T632
OHIP Other Code · Schedule of Benefits
When to Use
- Use T632 when performing a formal consultation for a patient referred by another physician or nurse practitioner for a specific medical problem.
- Use T632 for the initial assessment of a new patient problem that requires a comprehensive history, physical examination, and a written report to the referring provider.
Common Pitfalls
- Billing T632 for a patient who has been seen by you or a partner in the same group for the same diagnosis within the previous 12 months, which should be billed as a repeat assessment A007.
- Failing to ensure the referring physician's billing number is included in the claim, as T632 is strictly a referred service and will be rejected without a valid referring provider ID.
Billing Tips
- Ensure your clinical note explicitly documents the referral source and the specific reason for the consultation to satisfy audit requirements for a formal referral.
Provider Fee$37.12
Specialist Fee$44.54
Effective: April 1, 2025
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