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Billing code

W667A — Neurodevelopmental consultation – long-term care

LTC neurodevelopmental consultation

Bill for a paediatric consultation on a complex neurodevelopmental condition, such as autism, with at least 90 minutes with patient and caregiver.

Watch for: Maximum one per patient per physician per 12 months; chart start and stop times or it pays less.

Code

W667A

Description

Neurodevelopmental consultation – long-term care

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Long-term care paediatric consultation for a complex neurodevelopmental condition, at least 90 minutes with patient and caregiver.

What it covers

A neurodevelopmental consultation includes all the elements of a consultation (A265) for an infant, child or adolescent with complex neurodevelopmental conditions (for example autism or global developmental disorders), with at least 90 minutes in direct contact with the patient and caregiver (A168).

W667 is the long-term care version and is subject to the same conditions as A667 (A174). Less complex conditions, such as attention deficit disorder, are paid at a lesser fee (A169).

Billing rules

• Minimum 90 minutes of direct contact with the patient and caregiver (A168).
• Time counts only direct contact with the patient, not other separately billable services or non-patient-facing work such as chart or imaging review (A168, A169).
• Maximum one per patient, per physician, per 12 months (A168).
• Record start and stop times in the permanent record, or payment is reduced to a lesser fee (A168).
• Needs a written, signed request from the referring physician or nurse practitioner naming the patient, the referrer's billing number and the reason; otherwise it is paid as a lesser assessment (GP16).
• Non-emergency long-term care in-patient service: chronic care and convalescent hospitals, nursing homes, homes for the aged and designated chronic or convalescent beds, but not designated palliative care beds. Emergency calls and special visits use the General Listings (A prefix) with premiums (A174, GP49).
• Specialist consultations, limited consultations and repeat consultations get an age premium: +30% under 30 days, +25% to 1 year, +20% to 2 years, +15% to 5 years, +10% to 16 years (GP64).

Often billed with

• K001 detention, only after 180 minutes of neurodevelopmental consultation time (GP31).

Common rejections

• AM1: OHIP describes AM1 as 'Service Limit Exceeded': a neurodevelopmental consultation was already paid to you for this patient in the past 12 months (A168).
• ARF: The referring provider number is missing. A consultation needs a written request that names the referring physician or nurse practitioner and their billing number (GP16).

Related codes: A667, C667, W662, W260, W265

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Paediatrics (26), page A174.

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