All codes
Q006
Q006 – Q006
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q006 to bill for the completion of a formal, standardized cognitive assessment tool (e.g., MMSE or MoCA) for a patient with suspected cognitive impairment.
- Apply this code when the assessment is performed as a distinct clinical event, separate from a routine periodic health examination or a standard office visit.
Common Pitfalls
- Billing Q006 alongside a general assessment code (like A007) for the same patient on the same day is often flagged for audit unless the cognitive assessment is clearly documented as a separate, time-intensive procedure.
- Failure to document the specific name of the cognitive tool used and the resulting score will lead to automatic rejection or recovery during a post-payment audit.
Billing Tips
- Ensure the clinical note explicitly states the start and end time of the assessment to justify the service as a distinct cognitive evaluation rather than a component of a standard consultation.
Provider Fee$0.00
Effective: October 1, 2013
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