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T112

T112T112

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T112 for the initial assessment and management of a patient with a confirmed diagnosis of acute stroke or TIA when the physician is the Most Responsible Physician (MRP) in a designated stroke centre.
  • Apply this code when coordinating the acute phase of stroke care, including the decision-making process for thrombolysis or endovascular therapy, as it supersedes standard A007 or A008 consultations.

Common Pitfalls

  • Billing T112 in conjunction with a standard consultation code (A007/A008) for the same patient encounter will result in a rejection for duplicate billing.
  • Attempting to bill T112 for follow-up visits or routine stroke management after the acute phase is an audit risk; use subsequent visit codes (C002/C003) for ongoing care.

Billing Tips

  • Ensure the clinical record explicitly documents the stroke or TIA diagnosis and the specific time-sensitive management decisions to justify the premium fee of T112 over standard consultation codes.
Provider Fee$350.60
Specialist Fee$350.60

Effective: February 1, 2011

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