All codes
T522
T522 – T522
OHIP Other Code · Schedule of Benefits
When to Use
- Use T522 for the initial assessment and management of a patient with a confirmed diagnosis of acute stroke or TIA within the designated stroke unit setting.
- Apply this code when providing comprehensive neurological evaluation and stabilization for a patient admitted under the stroke protocol, provided the criteria for the stroke unit daily management are met.
Common Pitfalls
- Billing T522 in conjunction with a general internal medicine consult code (A130) for the same patient on the same day will trigger a rejection for duplicate service.
- Submitting T522 for patients who do not meet the specific admission criteria for a designated stroke unit will result in recovery during an audit.
Billing Tips
- Ensure the clinical documentation explicitly references the stroke unit admission and the specific neurological assessment findings to support the T522 fee over standard inpatient visit codes like C002.
Provider Fee$288.26
Specialist Fee$288.26
Effective: February 1, 2011
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