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The sheet summarizes key billing rules for unit-of-time minimums and emphasizes recording actual start/stop times in the patient chart, followed by OHIP schedule references and service definitions with codes, amounts, and eligibility notes.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/neurology-billing-cheat-sheet-updated-december-2023/506465/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/neurology-billing-cheat-sheet-updated-december-2023/506465.png","ImageObject",300,407,{"name":42,"@type":43},"A glass of water","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-08","2026-10-05",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What are the minimum time requirements for billing neurology unit-of-time codes?","Question",{"text":63,"@type":64},"The first unit requires a minimum of 20 minutes. Subsequent unit minimum time uses a greater-part approach of 30 minutes, with examples provided from 2 through 8 units and their corresponding minimums.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What documentation requirement applies to all time-based codes?",{"text":68,"@type":64},"Start and stop times (actual start/stop, not duration) must be recorded in the patient’s medical record.",{"name":70,"@type":61,"acceptedAnswer":71},"When must a consultation code A185 be requested?",{"text":72,"@type":64},"A185 consultation must be requested by another physician or a nurse practitioner.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},506465,1791302050,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},962090760832,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Neurology Billing Cheat Sheet  \nUpdated: December 2023  \nAgenda  \n1. Unit of Times  \n2. Outpatient: Consultation  \n3. Outpatient: Assessments (In person)  \n4.  Hospital: Consultation, Assessment, MRP, Death Certificate  \n5.  Non-Emergency Long-Term Care In-Patient Services  \n6. Special Visit Premiums  \n7. Specific Diagnostic and Therapeutic Procedures  \n8. Virtual Care  \n9.  Practice in General  \n10. Consultation with another Physician  \nDisclaimer:  \nEvery effort has been made to ensure that the contents of this document is accurate. Members should, however be aware that the laws, regulations and other agreements may change over time. The Ontario Medical Association assumes no responsibility for any discrepancies or differences of interpretation of applicable. Regulations with the Government of Ontario including but not limited to the Ministry of Health (MOH) and the College of Physicians and Surgeons of Ontario (CPSO) . Members are advised that the ultimate authority in matters of interpretation and payment of insured services (as well as determination of what constitutes an uninsured service) are in the purview of the government. Members are advised to request updated billing information and interpretations – in writing = by contacting their regional OHIP office.  \nOHIP Schedule of Benefits July 2023  \nNeurology Billing | December 2023 Ontario Medical Association  \nUnit of Times  \n• Billed in time units.  \n• Minimum time for the first unit = 20 minutes.  \n• Minimum time for subsequent unit – greater part of 30 minutes (16 minutes)  \n\n| \\# Units | Minimum time |\n| --- | --- |\n| 1 unit: | 20 minutes |\n| 2 units: | 46 minutes |\n| 3 units: | 76 minutes [1h 16m] |\n| 4 units: | 106 minutes [1h 46m] |\n| 5 units: | 136 minutes [2h 16m] |\n| 6 units: | 166 minutes [2h 46m] |\n| 7 units: | 196 minutes [3h 16m] |\n| 8 units: | 226 minutes [3h 46m] |\n\nImportant requirement for all time-based codes:  \nStart and stop times (not duration, but actual start and stop times) must be recorded in the patient's medical record.  \nNeurology Billing | December 2023 Ontario Medical Association  \nConsultations  \nA consultation is an assessment rendered following a written request from a referring physician or nurse practitioner.  \nA consultation includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring physician or nurse practitioner. Where the referral is made by a nurse practitioner, the consultant shall provide the report to the nurse practitioner and the patient’s primary care provider, if applicable.  \nConsultations: Office-based or Outpatient clinic  \n\n| Title | Code | Amount | Notes |\n| --- | --- | --- | --- |\n| Consultation | A185 | $184.40 | Must be requested by another physician or nurse practitioner |\n| Special Neurology Consultation | A180 | $310.45 | • All elements of A185 and\u003Cbr>• Spend a minimum of 75 minutes of direct contact with the patient exclusive of time spent rendering any other separately billable intervention to the patient. |\n| Extended Special Neurology Consultation | A682 | $401.30 | • All elements of A185 and\u003Cbr>• Spend a minimum of 90 minutes of direct contact with the patient exclusive of time spent rendering any other separately billable intervention to the patient. |\n| Limited Consultation | A385 | $87.70 | This service is less demanding and, in terms of time, normally requires substantially less of the physician’s time than the full consultation. |\n| Repeat Consultation | A186 | $87.70 | Seeing the patient again for the same issue, following care rendered to the patient by another physician in the interval following the initial consultation but preceding the repeat consultation. |\n\nNeurology Billing | December 2023 Ontario Medical Association  \n\n| Assessments: Office-based or Outpatient Clinic Title | Code | Amount | Notes |\n| --- | --- | --- | --- |\n| Medical Specific Assessment | A183 | $82.40 | This service occurs in a pla","cbCaik16d4FXm2R9","https://ap.wps.com/l/cbCaik16d4FXm2R9","pdf",498277,21,"English","# Agenda\n## Unit of Times\n## Outpatient: Consultation\n## Outpatient: Assessments (In person)\n## Hospital: Consultation, Assessment, MRP, Death Certificate\n## Non-Emergency Long-Term Care In-Patient Services\n## Special Visit Premiums\n## Specific Diagnostic and Therapeutic Procedures\n## Virtual Care\n## Practice in General\n## Consultation with another Physician","[{\"question\":\"What are the minimum time requirements for billing neurology unit-of-time codes?\",\"answer\":\"The first unit requires a minimum of 20 minutes. Subsequent unit minimum time uses a greater-part approach of 30 minutes, with examples provided from 2 through 8 units and their corresponding minimums.\"},{\"question\":\"What documentation requirement applies to all time-based codes?\",\"answer\":\"Start and stop times (actual start/stop, not duration) must be recorded in the patient’s medical record.\"},{\"question\":\"When must a consultation code A185 be requested?\",\"answer\":\"A185 consultation must be requested by another physician or a nurse practitioner.\"}]","Neurology Billing Cheat Sheet - Updated December 2023 | PDF",1791165532,53]