All codes
T704
T704 – T704
OHIP Other Code · Schedule of Benefits
When to Use
- Use T704 for the initial consultation of a patient with a suspected or confirmed malignant neoplasm when the service is provided by a specialist in medical oncology or hematology.
- Select T704 instead of A005 when the patient requires a comprehensive assessment and management plan for a new cancer diagnosis that necessitates complex treatment coordination.
Common Pitfalls
- Billing T704 for follow-up visits instead of the appropriate subsequent visit code, which will trigger an automatic rejection for 'service already paid' or 'invalid frequency'.
- Failing to include the required diagnostic code (ICD-9) for the malignancy, which is mandatory for this specific consultation fee to be processed.
Billing Tips
- Ensure the referral source is clearly documented and linked to the T704 claim, as this code is strictly restricted to referred consultations and cannot be used for self-referred or walk-in patients.
Provider Fee$274.20
Specialist Fee$329.05
Effective: February 1, 2011
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