All codes
T125
T125 – T125
OHIP Other Code · Schedule of Benefits
When to Use
- Use T125 for the initial assessment and management of a patient with a confirmed diagnosis of acute stroke or transient ischemic attack (TIA) within the first 24 hours of presentation.
- Apply this code when coordinating hyperacute stroke care, including the decision-making process for thrombolysis or endovascular therapy, provided you are the most responsible physician.
Common Pitfalls
- Billing T125 in conjunction with a standard consultation code (A005) for the same patient encounter will trigger a rejection as T125 is a comprehensive fee.
- Submitting T125 for follow-up stroke care beyond the initial 24-hour window is an audit risk; subsequent visits must be billed using appropriate subsequent visit codes (C002 or C003).
Billing Tips
- Ensure the start and end times of the stroke management are clearly noted in the chart to justify the use of this comprehensive fee over standard hourly or visit-based codes.
Provider Fee$326.68
Specialist Fee$394.11
Effective: April 1, 2025
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