All codes
A044
A044 – Partial Assessment
OHIP General Listings Code — Neurosurgery (04) · Schedule of Benefits
A partial assessment is a limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate record of the encounter.
When to Use
- Use A044 for a focused history and physical examination of a new neurological complaint, distinct from a full consultation (A045) or a specific assessment (A043).
- Bill A044 when a patient presents with a specific, limited neurological issue requiring a brief examination and advice, rather than a comprehensive workup.
- A044 is appropriate for follow-up neurosurgical visits where a new, distinct issue arises that requires a focused assessment, but not a full re-evaluation.
Common Pitfalls
- Billing A044 when a more comprehensive service like A045 (Consultation) or A043 (Specific Assessment) was performed, leading to potential claim rejection or audit.
- Submitting A044 for a routine follow-up neurosurgical visit that does not involve a new presenting complaint or a focused examination, as this may not meet the criteria for a partial assessment.
- Failing to document the specific presenting complaint, examination findings, and advice provided, which are required elements for A044 and can lead to claim disputes.
Billing Tips
- Remember that A044 is the neurosurgery-specific code for a partial assessment, analogous to A007 for other specialties.
- A044 can be billed with special visit premiums (e.g., K990, C990, A990) if the conditions for non-elective hospital, long-term care, or home visits are met and documented.
Provider Fee$0.00
Specialist Fee$30.00
Effective: June 1, 2025
Category
Consultations and Visits
Subcategory
Neurosurgery (04)
Service Type
Consultations and Visits
Code Classes
Assessment
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