All codes
T709
T709 – T709
OHIP Other Code · Schedule of Benefits
When to Use
- Use T709 for the initial consultation of a patient referred by a physician or nurse practitioner for a complex assessment that exceeds the scope of a standard A005 or A007 consultation.
- Apply this code when the clinical complexity requires a comprehensive review of records, detailed history, and a formal written report back to the referring provider.
Common Pitfalls
- Billing T709 for a patient who has been seen by you or your group for the same diagnosis within the previous 12 months, which should instead be billed as a repeat assessment.
- Submitting T709 without a valid referring physician or nurse practitioner billing number, which will result in an automatic rejection.
Billing Tips
- Ensure the referral note is dated prior to the service date and clearly indicates the reason for the consultation to satisfy audit requirements for specialist-level services.
Provider Fee$205.00
Specialist Fee$246.00
Effective: February 1, 2011
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