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T530

T530T530

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T530 for the initial assessment and management of a patient presenting with a confirmed or suspected acute stroke requiring urgent neurological evaluation.
  • Apply T530 when acting as the most responsible physician coordinating hyperacute stroke interventions, such as thrombolysis or mechanical thrombectomy assessment, in an emergency department setting.

Common Pitfalls

  • Billing T530 in conjunction with a standard A007 or A001 assessment code for the same patient encounter will result in a rejection for duplicate service.
  • Failure to document the specific start and end times of the acute stroke management period can lead to claim reversal during a post-payment audit.

Billing Tips

  • Ensure that the stroke protocol documentation explicitly supports the complexity of the T530 service to distinguish it from a standard emergency department consultation.
Provider Fee$350.00
Specialist Fee$350.00

Effective: February 1, 2011

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