OHIP fee codeK042

Extended specific neurocognitive assessment

CONSULTATIONS AND VISITS · RATC · FAMILY PRACTICE & PRACTICE IN GENERAL (00)

$140.20

What this reference tells you

K042 identifies the Ontario insured service described as “Extended specific neurocognitive assessment.” The listed fee and rules are reference data; the clinical record must support the service actually performed.

Loaded billing requirements

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.

Before using this code

Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.

Loaded billing requirements

Before using this code

Take the code from reference to reviewed claim.