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A199
A199 – Initiation of rTMS for treatment resistant depression
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Initiation of repetitive transcranial magnetic stimulation (rTMS) for treatment resistant depression is an assessment rendered by a specialist in Psychiatry where the physician spends a minimum of 30 minutes (consecutive or non-consecutive) in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient. The physician must be available to intervene in a timely fashion for the duration of the initial therapy session to manage adverse reactions or the service is not eligible for payment.
Minimum of 30 minutes (consecutive or non-consecutive) in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.
The physician must be available to intervene in a timely fashion for the duration of the initial therapy session to manage adverse reactions or the service is not eligible for payment.
A199 is only eligible for payment for a patient with an established diagnosis of treatment resistant depression, documented in the patient’s medical record.
Usage limits
Limited to a maximum of one service per patient per acute treatment protocol and a maximum of 2 services per patient per 12-month period.
Indirect time (when the patient is not present) may not be included towards the minimum time requirement.
Concurrent time (with more than one patient) may not be included towards the minimum time requirement.
A199 is not listed in Appendix J and is therefore not eligible for virtual care delivery.
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