All codes
T643
T643 – T643
OHIP Other Code · Schedule of Benefits
When to Use
- Use T643 to bill for the professional component of a diagnostic imaging procedure when the technical component is performed by a facility or another provider.
- Apply this code when submitting claims for specific radiology or diagnostic services where the physician is only responsible for the interpretation and reporting.
Common Pitfalls
- Billing T643 in conjunction with global procedure codes that already include the professional component will trigger an automatic rejection for duplicate payment.
- Failing to ensure the corresponding technical component has been billed by the facility can lead to audit flags regarding the completeness of the diagnostic service.
Billing Tips
- Always verify if the service requires a specific diagnostic code or if it must be linked to a consultation code to justify the professional interpretation fee.
Provider Fee$0.00
Effective: February 1, 2011
Since Jan 2004, this fee has decreased NaN% vs 14.3% CPI inflation
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