All codes
T122
T122 – T122
OHIP Other Code · Schedule of Benefits
When to Use
- Use T122 for the initial assessment and management of a patient with a confirmed diagnosis of acute stroke or TIA within the emergency or acute care setting.
- Apply this code when coordinating the immediate multidisciplinary stroke team response, provided the patient meets the specific neurological deficit criteria defined in the Schedule of Benefits.
Common Pitfalls
- Billing T122 in conjunction with a standard A007 or A005 assessment code for the same patient encounter will trigger an automatic rejection for duplicate service.
- Failure to document the specific neurological deficits or the time of symptom onset often leads to clawbacks during Ministry audits of stroke-specific claims.
Billing Tips
- Ensure the claim includes the appropriate diagnostic code for the stroke or TIA to support the medical necessity of this higher-value specialist intervention.
Provider Fee$242.36
Specialist Fee$302.92
Effective: April 1, 2025
Since Apr 2004, this fee has increased 28.0% vs 57.0% CPI inflation
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