K180

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 269 / A141

CONSULTATIONS AND VISITS
 NEUROLOGY (18)
          Payment rules:
          1.K180 includes the necessary consultation or assessments and interventions required to
            perform the service. Any other assessment service rendered by the same physician to the
            same patient on the same day as K180 is not eligible for payment.
          2.K180 is only eligible for payment for patients with advanced Parkinson's disease
            experiencing severe motor fluctuations (on/off periods, gait freezing, dyskinesia) that aren't
            well-controlled by optimized oral medications.
          3.K180 is limited to a maximum of 4 units per patient per day and 20 units per patient per year.
          4.K180 is only eligible for payment to a neurologist with experience or training in management
            of Parkinson's disease or related disorders.
          5.K180 must be personally rendered by the physician.
          6.The time unit is measured as the physician time spent fully devoted to the care of the patient
            and excludes time spent on separately billable interventions. Time unit total may include time
            which is consecutive or non-consecutive.
          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:
          Unless otherwise specified in the Schedule, the calculation of time for K180 excludes (1) time
          devoted to any other service or procedure for which an amount is payable in addition to the
          K180 and (2) non-patient-facing time such as such as time spent reviewing charts, imaging, or
          documentation, etc.]

Master, record 2977. Record Layout PDF, page 1.

K18020260401999999990000000000000000000000000012500000000000000000000000000

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.