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T635

T635T635

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T635 for the initial consultation of a patient with a suspected or confirmed diagnosis of a malignant neoplasm when the service is provided by a specialist in medical oncology or hematology.
  • Select T635 instead of A005 when the complexity of the oncological assessment requires a detailed review of pathology, staging, and treatment planning beyond a standard consultation.

Common Pitfalls

  • Billing T635 in conjunction with a subsequent visit code like A007 on the same day is a common rejection trigger unless specific criteria for a separate, unrelated diagnosis are met.
  • Submitting T635 without the required diagnostic code for the malignancy will result in an automatic rejection, as the Ministry requires a specific ICD-9 code for cancer-related billing.

Billing Tips

  • Ensure the referral source is clearly documented, as T635 requires a formal written referral from another physician to be eligible for payment.
  • If the patient requires a follow-up visit within the same episode of care, transition to the appropriate A-code series to avoid audit flags associated with repeated use of consultation codes.
Provider Fee$86.61
Specialist Fee$86.61

Effective: February 1, 2011

Since Apr 2005, this fee has increased 0.0% vs 10.8% CPI inflation

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