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C510 – Complex neuromuscular assessment

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

Levels of this visit

The C51x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • C510 Complex neuromuscular assessment(this code)

    A complex neuromuscular assessment provided to a non-emergency hospital in-patient.

    $104.85
  • C511 Complex physiatry assessment

    A complex physiatry assessment rendered to a non-emergency hospital in-patient.

    $114.80

Consultations

  • C515 Limited consultation

    C515 is a limited consultation for a non-emergency hospital in-patient rendered by a specialist in Physical Medicine & Rehabilitation (31).

    $106.60
A complex neuromuscular assessment provided to a non-emergency hospital in-patient. This service is subject to the same conditions as billing code A510. As an assessment, this service includes the 'specific elements' of assessments as defined in the Schedule of Benefits (), in addition to the 'common elements' (-). The 'C' prefix signifies this service is for non-emergency hospital in-patients, as outlined on pages and . A complex neuromuscular assessment is an assessment for the ongoing management of the following diseases of the neuromuscular system where the complexity of the condition requires the continuing management by a physical medicine and rehabilitation specialist: a. generalized peripheral neuropathies; b. myopathies; c. diseases of the neuromuscular junction; or d. diseases of the motor neurone.

Subject to the same conditions as A510.

As per , specialist assessments generally have usage limits (e.g., one per patient per physician per 12-month period unless specific criteria are met). The specific limits for C510 are dependent on the rules for A510.

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