All codes
B607
B607 – B607
OHIP Paediatrics Code · Schedule of Benefits
When to Use
- B607 is appropriate for the initial assessment and management of a patient presenting with a new diagnosis of a complex neurological condition requiring specialist input, such as a newly diagnosed multiple sclerosis or Parkinson's disease.
- Use B607 when a patient requires a comprehensive neurological evaluation for undiagnosed symptoms that are suspected to be of central nervous system origin, and the assessment involves detailed history, neurological examination, and formulation of a management plan.
- B607 is indicated for the initial consultation of a patient referred for management of a complex movement disorder, epilepsy, or neurodegenerative disease where a detailed specialist assessment is necessary.
Common Pitfalls
- Billing B607 for routine follow-up visits for established neurological conditions; these should be billed using appropriate follow-up codes like K001 or K005.
- Submitting B607 for a consultation that does not involve a comprehensive neurological assessment, such as a brief opinion on a specific test result without a full patient workup.
- Failure to clearly document the complexity of the neurological condition and the specialist nature of the assessment in the patient's chart, which can lead to audit issues.
Billing Tips
- Ensure the patient's chart clearly details the specific neurological condition being assessed and the rationale for the specialist consultation.
- Verify that the assessment includes a detailed neurological examination and a comprehensive plan for management, differentiating it from a general medical consultation.
Provider Fee$0.00
Specialist Fee$573.70
Effective: April 1, 2026
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