with administration of tPA, per _ hour or major portion thereof
To be used for the ongoing evaluation, clinical monitoring and treatment of a patient referred for suspected acute cerebral vascular syndrome requiring ongoing care by the neurologist.
Includes ongoing review/discussion of any and all diagnostic imaging &/or interventional imaging.
Includes the time required for use and monitoring of tPA by the neurologist.
iv) Includes sequential scales e.g. NIHSS, as necessary.
v) Not payable with 00410, 00081, 00082 or 00442 by same physician.
vi) Not intended for standby time such as waiting for laboratory results.
vii) For payment purposes, when immediately subsequent to 00441, the consultation fee constitutes the first half hour of the time spent with the patient.
viii) Start and end times must be submitted with claim.
ix) Restricted to Neurologists.
x) If billed in addition to 00441, paid at 100%.
xi) Daily maximum per patient is six (6), unless note record indicates medical necessity for extended service.