All codes
T660
T660 – T660
OHIP Other Code · Schedule of Benefits
When to Use
- Use T660 for the formal assessment of a patient requiring a comprehensive geriatric or complex chronic disease management plan when the encounter exceeds the scope of a standard A007 office visit.
- Apply this code when coordinating care for a patient with multi-system involvement that necessitates a structured, multidisciplinary approach not covered by routine assessment codes.
Common Pitfalls
- Billing T660 on the same day as a standard A007 or A008 assessment will result in a rejection for duplicate service; ensure the clinical documentation clearly distinguishes the complexity of the T660 service.
- Failure to document the specific time spent or the components of the care plan can lead to clawbacks during an audit, as T660 requires evidence of a high-intensity intervention.
Billing Tips
- Ensure that the diagnosis code linked to T660 reflects the complexity of the chronic condition being managed to justify the higher fee compared to standard assessment codes.
Provider Fee$75.52
Specialist Fee$90.50
Effective: April 1, 2025
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