All codes
T663
T663 – T663
OHIP Other Code · Schedule of Benefits
When to Use
- Use T663 for the initial consultation of a patient with a suspected or confirmed malignancy when a comprehensive assessment and management plan are required.
- Select T663 over A005 when the complexity of the oncological diagnosis necessitates a detailed review of pathology, staging, and multidisciplinary treatment planning.
Common Pitfalls
- Billing T663 in conjunction with a subsequent visit code like A007 on the same day is prohibited and will trigger an automatic rejection.
- Submitting T663 without the mandatory referring physician's billing number or a valid consultation request will result in a claim denial.
- Using T663 for routine follow-up visits instead of the appropriate A007 or A008 code is a common audit trigger for overbilling.
Billing Tips
- Ensure the consultation note explicitly details the diagnostic workup and the specific oncological management plan to justify the higher fee compared to standard consultation codes.
Provider Fee$232.59
Specialist Fee$287.54
Effective: April 1, 2025
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