All codes
T906
T906 – T906
OHIP Other Code · Schedule of Benefits
When to Use
- Use T906 for the initial assessment and management of a patient with a confirmed diagnosis of acute stroke, including the decision-making process for thrombolysis.
- Apply this code when providing a comprehensive neurological evaluation and stabilization for a patient presenting with an acute cerebrovascular event in an emergency or inpatient setting.
Common Pitfalls
- Billing T906 in conjunction with a standard consultation code (A005) for the same patient encounter will result in a rejection for duplicate service.
- Failing to document the specific time of onset and the neurological deficit severity can lead to recovery of funds during a Ministry audit of acute stroke claims.
Billing Tips
- Ensure the claim includes the appropriate diagnostic code for the stroke (e.g., 434) to justify the higher complexity fee associated with T906.
- If the patient requires ongoing management after the initial assessment, transition to subsequent visit codes rather than attempting to re-bill T906 for the same episode of care.
Provider Fee$184.48
Specialist Fee$221.41
Effective: April 1, 2025
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