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A695 – Neurodevelopmental consultation

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

A neurodevelopmental consultation is a specialized psychiatric consultation for an adult with complex neurodevelopmental conditions (e.g., autism, global developmental disorders). It requires the physician to provide all elements of a standard psychiatric consultation (A195) and spend a minimum of 90 minutes in direct contact with the patient and caregiver.
Minimum of 90 minutes in direct contact with the patient and caregiver.
Start and stop times must be recorded in the patient's permanent medical record.
Time spent rendering any other separately billable intervention must be excluded from the 90-minute minimum.
Non-patient-facing time (reviewing charts, imaging, documentation) is excluded from the time calculation.
Usage limits
Maximum one per patient per physician every 5 years.

Neurodevelopmental consultations for children or adolescents or for less complex conditions (e.g., ADHD) are payable at a lesser fee (e.g., A195 or A395).

The calculation of time excludes time devoted to any other service or procedure for which an amount is payable in addition to the consultation.

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