A185

PDF page 268 / A140

CONSULTATIONS AND VISITS
NEUROLOGY (18)
   GENERAL LISTINGS
 A185 Consultation............................................................................ 225.55
   Special neurology consultation
     Special neurology consultation is a consultation in which the physician provides all the
     elements of a consultation (A185) and spends a minimum of 75 minutes in direct contact with
     the patient, exclusive of time spent rendering any other separately billable intervention to the
     patient.
 A180 Special neurology consultation ...............................................           342.25
     Medical record requirements:
     The service is only eligible for payment if start and stop times of the service are recorded in the
     patient's permanent medical record.

PDF page 268 / A140

Extended special neurology consultation
     Extended special neurology consultation is a consultation in which the physician provides all
     the elements of a consultation (A185) and spends a minimum of 90 minutes in direct contact
     with the patient, exclusive of time spent rendering any other separately billable intervention to
     the patient.
 A682 Extended special neurology consultation ...............................          442.40
     Medical record requirements:
     The service is only eligible for payment if start and stop times of the service are recorded in the
     patient's permanent medical record.
     [Commentary:
     Unless otherwise specified in the Schedule, the calculation of time for A180 and A682 excludes
     (1) time devoted to any other service or procedure for which an amount is payable in addition to
     the consultation and (2) non-patient-facing time such as such as time spent reviewing charts,
     imaging, or documentation, etc.]
 A385 Limited consultation ................................................................ 125.50
 A186 Repeat consultation ................................................................  125.50
 A183 Medical specific assessment ..................................................         82.40
 A184 Medical specific re-assessment..............................................           64.95
 A181 Complex medical specific re-assessment...............................                  75.20
 A188 Partial assessment .................................................................   39.40
 E078     - chronic disease assessment premium (see General
            Preamble GP25) ................................................ add 50%
   Dose titration and programming of external infusion pump for the treatment of advanced
   Parkinson's disease
     Dose titration and programming of external infusion pump for the treatment of advanced
     Parkinson's disease is a time based all-inclusive service for the purpose of providing
     assessment and dose optimization for a patient with advanced Parkinson's disease receiving
     continuous subcutaneous or enteral infusion. This service is claimed in units - unit means ½
     hour or major part thereof - see the General Preamble GP7, GP55 for definitions and time
     keeping requirements.
 K180 Dose titration and programming of external infusion pump for
          the treatment of advanced Parkinson's disease..... per unit               125.00

PDF page 270 / A142

CONSULTATIONS AND VISITS
NEUROLOGY (18)
 3. the following neuro-oncology conditions:
     a. primary tumor of the central nervous system;
     b. central nervous system metastasis;
     c. neurological complications of cancer therapy;
     d. paraneoplastic neurological syndromes.
 A113 Complex neurological assessment ......................................... 120.00
     Payment rules:
     1.A complex neurological assessment must include the elements of a medical specific re-
       assessment, or the amount payable will be adjusted to lesser assessment fee.
      2.This service is not eligible for payment to a physician for the initial evaluation of the patient by
        that physician.
      3.Complex neurological assessments are limited to 6 per patient, per physician, per 12 month
        period. Services in excess of this limit will be adjusted to a lesser assessment fee.
      4.This service is not eligible for payment unless the patient has an established diagnosis of a
        chronic complex neurological disease, documented in the patient’s medical record.
      5.E078 is not eligible for payment with A113.
      Medical record requirements:
      The start and stop times must be recorded in the patient’s permanent medical record or the
      amount payable for the service will be adjusted to a lesser paying fee.
      [Commentary:
      1.A complex neurological assessment is for the ongoing management of complex neurological
        disorders, where the complexity of the condition requires the continuing management by a
        neurologist. It is not intended for the evaluation and/or management of uncomplicated
        neurological disorders (e.g. carpal tunnel syndrome, Bell’s palsy, asymptomatic diabetic
        neuropathy).
      2.A consultation or assessment service, as appropriate, may be claimed for the initial
        evaluation of a patient. A complex neurological assessment is for the ongoing management
        of a patient with a complex neurological disorder.]
   Consultation and Management for Acute Cerebral Vascular Syndrome (ACVS)
     A Consultation and Management for ACVS is a service in which the physician provides all the
     elements of a consultation (A185) to a patient referred for suspected ACVS and, if necessary,
     treatment with intravenous thrombolysis therapy and post-administration monitoring.
 A384 ................................................................................................ 275.95
 K181 - after first 30 minutes, must include intravenous thrombolysis
          therapy and monitoring, per 30 minute unit (or major part
          thereof) ...............................................................................      90.00
     Medical record requirements:
     Consultation and Management for ACVS is only eligible for payment if start and stop times of
     the services and the time of onset of symptoms are recorded in the patient's permanent
     medical record.

PDF page 826 / AJ2

APPENDIX J
VIDEO ONLY
     A010A, A011A, A015A, A016A, A021A, A025A, A026A, A035A, A036A,
     A045A, A046A, A050A, A055A, A056A, A065A, A066A, A075A, A076A,
     A085A, A086A, A095A, A096A, A116A, A130A, A135A, A136A, A150A,
     A155A, A156A, A160A, A165A, A166A, A175A, A176A, A180A, A185A,
     A186A, A190A, A191A, A192A, A195A, A196A, A197A, A198A, A205A,
     A206A, A210A, A220A, A223A, A225A, A226A, A235A, A236A, A245A,
     A246A, A253A, A255A, A256A, A260A, A265A, A266A, A275A, A285A,
     A286A, A315A, A316A, A320A, A325A, A335A, A345A, A346A, A355A,
     A356A, A365A, A375A, A385A, A395A, A400A, A405A, A415A, A416A,
     A425A, A435A, A445A, A446A, A460A, A465A, A466A, A470A, A475A,
     A476A, A485A, A486A, A515A, A525A, A545A, A565A, A575A, A580A,
     A586A, A590A, A595A, A600A, A605A, A606A, A615A, A616A, A625A,
     A626A, A635A, A636A, A645A, A646A, A655A, A662A, A665A, A667A,
     A675A, A680A, A682A, A695A, A710A, A715A, A720A, A725A, A726A,
     A735A, A745A, A770A, A775A, A795A, A800A, A801A, A802A, A814A,
     A817A, A818A, A835A, A845A, A865A, A906A, A913A, A914A, A915A,
     A925A, A935A, A945A, C010A, C013A, C014A, C015A, C016A,
     C020A, C023A, C024A, C025A, C026A, C033A, C034A, C035A, C036A,
     C043A, C044A, C045A, C046A, C051A, C053A, C054A, C055A, C063A,
     C064A, C065A, C066A, C071A, C073A, C074A, C075A, C076A, C083A,
     C084A, C085A, C086A, C093A, C094A, C095A, C096A, C111A, C113A,
     C114A, C116A, C130A, C131A, C133A, C134A, C135A, C136A, C150A,
     C151A, C153A, C154A, C155A, C156A, C160A, C161A, C163A, C164A,
     C165A, C166A, C173A, C174A, C175A, C176A, C180A, C181A, C183A,
     C184A, C185A, C186A, C190A, C193A, C194A, C196A, C203A, C204A,
     C205A, C206A, C210A, C220A, C223A, C225A, C226A, C233A, C234A,
     C235A, C236A, C243A, C244A, C245A, C246A, C255A, C260A, C263A,
     C264A, C265A, C266A, C270A, C275A, C283A, C285A, C286A, C311A,
     C313A, C314A, C315A, C316A, C320A, C325A, C335A, C341A, C343A,
     C344A, C345A, C346A, C353A, C354A, C355A, C356A, C365A, C375A,
     C385A, C395A, C411A, C413A, C414A, C415A, C416A, C425A, C435A,
     C441A, C443A, C444A, C445A, C446A, C460A, C461A, C463A, C464A,
     C465A, C466A, C470A, C471A, C473A, C474A, C475A, C476A, C480A,
     C481A, C483A, C484A, C485A, C486A, C510A, C511A, C515A, C545A,
     C565A, C570A, C575A, C580A, C585A, C586A, C590A, C595A, C600A,
     C601A, C603A, C604A, C605A, C606A, C611A, C613A, C614A, C615A,
     C616A, C623A, C624A, C625A, C626A, C635A, C643A, C644A, C645A,
     C646A, C655A, C661A, C662A, C665A, C667A, C675A, C680A, C682A,
     C695A, C720A, C721A, C723A, C724A, C725A, C726A, C710A, C713A,
     C715A, C735A, C745A, C760A, C770A, C775A, C795A, C845A, C865A,
     C895A, C915A, C925A, C935A, C945A, K630A, W025A, W026A,
     W075A, W076A, W130A, W150A, W155A, W156A, W165A, W185A,
     W190A, W196A, W235A, W236A, W275A, W310A, W355A, W356A,
     W375A, W395A, W425A, W435A, W465A, W466A, W510A, W511A,
     W515A, W516A, W535A, W720A, W725A, W726A, W770A, W775A,
     W795A, W895A, W925A

Master, record 99. Record Layout PDF, page 1.

A18520260401999999990000000000000000000000000022555000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.