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T638

T638T638

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T638 for the initial consultation of a patient with a suspected or confirmed malignancy when the assessment requires a comprehensive review of complex diagnostic data.
  • Select T638 when the clinical complexity exceeds the scope of a standard A005 or A007 consultation, specifically requiring a detailed multidisciplinary treatment plan.

Common Pitfalls

  • Billing T638 in conjunction with a minor assessment code on the same day is a frequent cause of rejection due to the comprehensive nature of the consultation fee.
  • Failure to provide a formal, written consultation report to the referring physician will result in a clawback during an OHIP audit.

Billing Tips

  • Ensure the referral source is clearly documented in the patient record, as T638 requires a valid referral from another physician or nurse practitioner to be eligible for payment.
Provider Fee$306.25
Specialist Fee$306.25

Effective: February 1, 2011

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