All codes
T113
T113 – T113
OHIP Other Code · Schedule of Benefits
When to Use
- Use T113 for the initial assessment and management of a patient with a confirmed diagnosis of acute stroke requiring specialized neurological intervention.
- Apply this code when the patient meets the criteria for acute stroke unit admission, provided the service is rendered by a neurologist or internist with stroke expertise.
Common Pitfalls
- Billing T113 in conjunction with a standard A007 or A005 assessment for the same patient encounter will trigger a rejection for duplicate billing.
- Failure to document the specific stroke unit admission criteria or the neurological deficit severity can lead to recovery during a Ministry audit.
Billing Tips
- Ensure the claim includes the appropriate diagnostic code for the stroke type to justify the high-intensity nature of the T113 service.
Provider Fee$350.60
Specialist Fee$350.60
Effective: February 1, 2011
Since Jan 2004, this fee has increased 0.0% vs 14.3% CPI inflation
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