All codes
V406
V406 – V406
OHIP Other Code · Schedule of Benefits
When to Use
- Use V406 for the initial assessment of a patient with a suspected or confirmed diagnosis of dementia or cognitive impairment when a comprehensive evaluation is performed.
- Apply this code when conducting a formal cognitive assessment that requires significant time and clinical synthesis, distinguishing it from a standard A007 intermediate assessment.
Common Pitfalls
- Billing V406 in conjunction with a standard office visit code like A007 on the same day is generally considered unbundling and will lead to rejection.
- Failing to document the specific cognitive screening tools used or the clinical rationale for the assessment often leads to recovery during Ministry audits.
Billing Tips
- Ensure your documentation clearly supports the complexity of the cognitive evaluation to justify the higher fee compared to routine assessment codes.
Provider Fee$80.00
Effective: March 1, 2025
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.