All codes
Q060
Q060 – Q060
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q060 when performing a formal assessment for a patient with a confirmed diagnosis of dementia, specifically for the purpose of completing the required documentation for the Ontario Dementia Care Program.
- Apply this code when conducting a comprehensive cognitive assessment and care planning session that exceeds the scope of a standard A007 or A001 office visit.
Common Pitfalls
- Billing Q060 on the same day as a general assessment or another major procedure code often triggers a rejection or audit for unbundling.
- Failing to document the specific cognitive testing tools used or the resulting care plan will lead to clawbacks during Ministry of Health reviews.
Billing Tips
- Ensure the clinical note clearly distinguishes the cognitive assessment components from routine primary care to justify the premium fee over standard visit codes.
Provider Fee$80.00
Effective: April 1, 2025
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.