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Table 7 Billing codes used in the ASD diagnostic assessment

From: Practice patterns and determinants of wait time for autism spectrum disorder diagnosis in Canada

Billing code Amount First visit (n) Second visit (n) Third visit (n) Fourth visit (n)
Alberta-3.08A $198.04 3
Alberta-03.08A CMXC30 $229.15 3 5 1
Alberta-03.08A + 03.08J $198.04 + $59.41 per 15 min unit after 30 min 2
Alberta-03.08A CMXC30 + 03.08J $229.15 + $59.41 per 15 min unit after 30 min 1 1
Alberta-03.03F $99.02 2
Alberta-03.03F + 03.03FA $99.02 + $59.41 per 15 min unit after 30 min 1
Alberta-03.03F CMXV30 + 03.03FA $130.13 + $59.41 per 15 min unit after 30 min 1
BC-00511 $411.87 2
BC-00512 $99.19 1
BC-00554 $76.71 1
Manitoba-8552 $48.65 per 15 min unit (includes report writing) 1
New Brunswick-14.1-93 $217 3
New Brunswick-14.1-94 $133 1
New Brunswick-14.2-85 $92.40 1
New Brunswick-14.8C-91 $263.20 1
Newfoundland-101 $174.04 1
Newfoundland-113 $93.37 1
Nova Scotia-03.08 $171.82 1
Ontario-A265 $167 10
Ontario-A667 $395.65 10
Ontario-A260 $300.70 3 1 1
Ontario-A2662 $395.65 2
Ontario-A2661 $68.80 0 1
Ontario-K119 $100.00 1
Ontario-K122 $80.30 per 30 min unit 4 1
Ontario-K123 $91.10 per 30 min unit 12 5 2
Quebec-09127 $57
Quebec-09165 $187 2 1 1
Quebec-09129 $47 1
Quebec-15164 $55.05 per 15 min unit 2 1
Saskatchewan-9C $125 1
Saskatchewan-3C $89.40 1
Nunavut K1/K2 (unable to determine) 1 1 1
NB-90 + 2172 (unable to determine) 1
Do not know   5 8 1
Alternate funding plan   3 2 1 1
No response   1 1 1 1
Total   57 49 16 3
  1. The number of participants indicating use of each billing code or billing code combination is displayed. The fifth clinic visit and any additional visits are not displayed and are described in the text. Where the respondent selected more than one billing code per visit but only one of those selected could be used for a patient visit according to the province’s fee schedule, the billing code with the higher amount was included in the analysis