All codes
T936
T936 – T936
OHIP Other Code · Schedule of Benefits
When to Use
- Use T936 for the initial consultation of a patient referred for a specific psychiatric assessment when the patient is not currently under your ongoing care.
- Apply this code when performing a comprehensive psychiatric evaluation that exceeds the scope of a standard A007 or A005 office visit.
Common Pitfalls
- Billing T936 in conjunction with a general A007 office visit on the same day will result in a rejection for duplicate service.
- Failure to include a valid referring physician number on the claim will lead to automatic rejection by the Ministry.
Billing Tips
- Ensure the clinical note explicitly justifies the complexity of the psychiatric assessment to support the higher fee compared to a standard consultation code.
Provider Fee$42.46
Specialist Fee$51.05
Effective: February 1, 2011
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