All codes
T669
T669 – T669
OHIP Other Code · Schedule of Benefits
When to Use
- Use T669 for the initial consultation of a patient referred for a complex geriatric assessment when the patient meets the age criteria and the assessment requires a comprehensive review of multiple systems.
- Select T669 when the consultation involves a formal cognitive or functional assessment that exceeds the scope of a standard A005 or A007 consultation.
Common Pitfalls
- Billing T669 in conjunction with a standard office visit code on the same day is a common rejection trigger; ensure the consultation is distinct and meets the referral requirements.
- Failure to include a valid referring physician number on the claim will result in an automatic rejection, as T669 is strictly a consultation service.
Billing Tips
- Ensure the referral note explicitly requests a consultation rather than a transfer of care to justify the T669 fee over a standard visit code.
Provider Fee$121.60
Specialist Fee$121.60
Effective: April 1, 2025
Since Apr 2004, this fee has increased 28.0% vs 57.0% CPI inflation
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