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T633
T633 – T633
OHIP Other Code · Schedule of Benefits
When to Use
- Use T633 for the initial assessment and management of a patient presenting with a confirmed or suspected acute poisoning or toxic ingestion requiring immediate intervention.
- Apply this code when the clinical complexity of the toxicological presentation exceeds the scope of a standard consultation or assessment code like A007 or A005.
Common Pitfalls
- Billing T633 in conjunction with a standard consultation code (A007) for the same patient encounter is a common cause for rejection due to unbundling rules.
- Failing to document the specific toxic agent or the severity of the clinical toxidrome often leads to audit recovery, as the Ministry requires evidence of the complexity justifying this higher-valued code.
Billing Tips
- Ensure the clinical record explicitly details the toxicological assessment, stabilization measures, and the rationale for the high-intensity management to support the T633 fee during a post-payment audit.
Provider Fee$289.47
Specialist Fee$289.47
Effective: February 1, 2011
Since Apr 2005, this fee has increased 0.0% vs 10.8% CPI inflation
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