All codes
Q132
Q132 – Q132
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q132 to bill for the completion of a formal, standardized cognitive assessment tool, such as the MMSE or MoCA, when performed as part of a comprehensive geriatric or cognitive evaluation.
- Apply this code when the assessment is performed in conjunction with a primary consultation or assessment code (e.g., A005 or A007) to capture the additional time and complexity of cognitive testing.
Common Pitfalls
- Do not bill Q132 as a standalone service; it must be submitted with an accompanying visit code to be eligible for payment.
- Avoid billing Q132 if the cognitive screening is already included in the global fee of a specific procedure or a comprehensive assessment code that explicitly states cognitive testing is part of the service.
- Ensure the specific tool used and the resulting score are clearly noted in the chart, as auditors frequently flag claims where the documentation does not support the use of a standardized instrument.
Billing Tips
- Always link Q132 to the primary visit code on the same claim to ensure the system recognizes the service as an adjunct to the clinical encounter.
Provider Fee$0.00
Effective: March 31, 2004
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