All codes
T706
T706 – T706
OHIP Other Code · Schedule of Benefits
When to Use
- Use T706 for the initial consultation of a patient referred for a complex assessment of a suspected or confirmed neurological disorder.
- Select T706 when the complexity of the patient's neurological presentation exceeds the scope of a standard consultation (A005) and requires a comprehensive neurological evaluation.
- Apply T706 for a formal specialist consultation when the patient has been referred by another physician or nurse practitioner for a specific neurological diagnostic opinion.
Common Pitfalls
- Billing T706 for a follow-up visit instead of the appropriate subsequent visit code (A006), which will trigger an automatic rejection.
- Submitting T706 without a valid referring physician billing number, as this code strictly requires a formal referral to be eligible for payment.
- Attempting to bill T706 in conjunction with a minor assessment code on the same day for the same patient, which is considered unbundling.
Billing Tips
- Ensure the referral source is clearly documented in the patient's chart to support the claim during a potential Ministry audit.
- If the consultation exceeds the time threshold for a standard T706, consider whether the complexity warrants a time-based code if applicable to your specialty, though T706 remains the primary base code for the initial neurological consult.
Provider Fee$136.65
Specialist Fee$164.00
Effective: February 1, 2011
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