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A180 – Special neurology consultation

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

Levels of this visit

The A18x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A188 Partial assessment

    Partial assessment rendered by a specialist in Neurology (18).

    $39.40
  • A184 Medical specific re-assessment

    Medical specific re-assessment rendered by a specialist in Neurology (18).

    $64.95
  • A181 Complex medical specific re-assessment

    A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient's condition and includes all the…

    $75.20
  • A183 Medical specific assessment

    Medical specific assessment rendered by a specialist in Neurology (18).

    $82.40

Consultations

  • A186 Repeat consultation

    Repeat consultation rendered by a specialist in Neurology (18).

    $125.50
  • A185 Consultation

    A consultation is an assessment rendered by a neurologist following a written request from a referring physician, nurse practitioner, or dental surgeon.

    $225.55
  • A180 Special neurology consultation(this code)

    Special neurology consultation is a consultation in which the physician provides all the elements of a consultation (A185) and spends a minimum of 75 minutes in direct contact…

    $342.25
Special neurology consultation is a consultation in which the physician provides all the elements of a consultation (A185) and spends a minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient. The service is only eligible for payment if start and stop times of the service are recorded in the patient's permanent medical record.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
Minimum 20 minutes of direct patient contact
Written request from a referring physician, NP, or dental surgeon
Written report to the referring provider
Start and stop times must be recorded in the medical record
A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record
Usage limits
One per two consecutive 12-month periods for the same diagnosis; one every 12 months for an unrelated diagnosis.

Time spent on separately billable interventions cannot be counted toward the 20-minute minimum.

If time requirements or documentation requirements (start/stop times) are not met, the fee is adjusted to a lesser assessment.

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