All codes
T664
T664 – T664
OHIP Other Code · Schedule of Benefits
When to Use
- Use T664 for the initial consultation of a patient referred for a complex geriatric assessment when the service meets the specific criteria for a comprehensive geriatric evaluation.
- Select T664 when the assessment requires a multidisciplinary approach or significant time spent on cognitive, functional, and social history that exceeds the scope of a standard A005 consultation.
Common Pitfalls
- Billing T664 in conjunction with a standard office visit code on the same day is prohibited and will result in a rejection for duplicate billing.
- Failing to document the specific referral source or the complexity of the geriatric assessment often leads to audit recovery, as T664 is subject to higher scrutiny than standard consultation codes.
- Using T664 for follow-up visits instead of the appropriate geriatric follow-up codes will trigger an automatic rejection.
Billing Tips
- Ensure the referral note explicitly states the request for a geriatric assessment to justify the higher fee associated with T664 compared to a standard A005 consultation.
Provider Fee$122.85
Specialist Fee$122.85
Effective: February 1, 2011
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.