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T908

T908T908

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T908 for the initial consultation of a patient referred for a specific psychiatric assessment when the patient is not a current patient of the consulting psychiatrist.
  • Apply this code when the assessment requires a comprehensive evaluation that exceeds the scope of a standard A005 or A007 psychiatric visit.
  • Use this code for a formal consultation requested by a primary care physician or another specialist to provide a diagnostic opinion and treatment plan.

Common Pitfalls

  • Billing T908 for a follow-up visit instead of a subsequent visit code like A008 will result in automatic rejection.
  • Failing to document the formal referral request from the referring physician is a primary cause for recovery during OHIP audits.
  • Submitting T908 when the patient has been seen by the same physician or a partner in the same group for the same condition within the previous 12 months is considered an invalid consultation.

Billing Tips

  • Ensure the referring physician's billing number is included in the claim to validate the consultation status.
  • If the patient requires an urgent assessment, consider adding the appropriate time-based premiums if the criteria for K007 or similar urgent modifiers are met.
Provider Fee$79.66
Specialist Fee$95.45

Effective: April 1, 2025

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