All codes
T901
T901 – T901
OHIP Other Code · Schedule of Benefits
When to Use
- Use T901 for a consultation requested by a physician or nurse practitioner for a patient with a specific clinical problem requiring an opinion.
- Apply this code when the patient has not been seen by your specialty for the current condition within the preceding 12 months.
Common Pitfalls
- Billing T901 when the patient is a return visit for the same condition, which should be billed as a repeat consultation (T902) or a subsequent visit (A005).
- Submitting T901 without a valid referring physician billing number, which will result in an automatic rejection by the Ministry.
Billing Tips
- Ensure the referring physician's name and billing number are clearly documented in the chart to support the claim in the event of a post-payment audit.
Provider Fee$39.16
Specialist Fee$46.99
Effective: April 1, 2025
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