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T911
T911 – T911
OHIP Other Code · Schedule of Benefits
When to Use
- Use T911 for the initial assessment and management of a patient presenting with a confirmed or suspected acute poisoning or toxic ingestion.
- Apply this code when the clinical complexity of the toxicological evaluation exceeds the scope of a standard A007 or A001 consultation.
Common Pitfalls
- Billing T911 in conjunction with a standard office visit code (A007) for the same encounter will result in a rejection for duplicate service.
- Failure to document the specific toxic agent or the clinical severity of the ingestion often leads to recovery during Ministry audits.
Billing Tips
- Ensure the clinical note explicitly details the toxicological assessment, including vital signs and specific management steps, to justify the premium fee over standard consultation codes.
Provider Fee$126.41
Specialist Fee$151.63
Effective: November 1, 2017
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