K042

PDF page 186 / A58

K032 Specific neurocognitive assessment.......................................     80.00
     [Commentary:
     Examples of neurocognitive assessment batteries which would be acceptable are the short
     form of the Behavioral Neurology Assessment (BNA) or the Dementia Rating Scale (DRS). The
     Mini-Mental State Examination ("Folstein") test is not considered acceptable for this purpose.]
    Extended specific neurocognitive assessment
      An extended specific neurocognitive assessment is an assessment of neurocognitive function
      rendered personally by the physician where all of the following requirements are met:
     a. test of memory, attention, language, visuospatial function and executive function;
     b. a minimum of 46 minutes (consecutive or non-consecutive) must be dedicated exclusively to
        this service (including administration of the tests and scoring) and must be completed on the
        same day; and
     c. the start and stop time(s) must be recorded in the patient's medical record.
 K042 Extended specific neurocognitive assessment .......................             140.20
     Payment rules:
     1.K042 is only eligible for payment to specialists in one of the following: Geriatrics (07),
       Neurology (18), and Psychiatry (19).
     2.Only one of K032 or K042 is eligible for payment to the same physician, same day.
     [Commentary:
     Examples of extended neurocognitive assessment batteries which would be acceptable, where
     the minimum time requirement has been met, are the Toronto Cognitive Assessment (TorCA) or
     the Behavioral Neurology Assessment-short form in addition to the Montreal Cognitive
     Assessment (BNA-SF + MOCA) or the Behavioral Neurology Assessment-short form in
     addition to the Frontal Assessment battery (BNA-SF + FAB). Note that for K042, MOCA or
     BNA-SF or FAB alone is not a sufficient neurocognitive assessment battery for payment
     purposes.]

Master, record 2920. Record Layout PDF, page 1.

K04220250401999999990000000000000000000000000014020000000000000000000000000

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.