All codes
V407
V407 – V407
OHIP Other Code · Schedule of Benefits
When to Use
- Use V407 for the initial assessment of a patient referred for a formal consultation regarding a specific psychiatric or psychological concern.
- Apply this code when the service involves a comprehensive evaluation that exceeds the scope of a standard A007 office visit but does not meet the criteria for a full psychiatric consultation (K007).
Common Pitfalls
- Billing V407 on the same day as a K007 or other psychiatric consultation codes will result in an automatic rejection for duplicate services.
- Submitting V407 without a valid referring physician number or a documented referral source will lead to claim rejection.
Billing Tips
- Ensure the clinical note clearly distinguishes the V407 assessment from routine follow-up visits (A007) to justify the higher fee during a potential audit.
Provider Fee$80.00
Effective: September 1, 2023
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