OHIP billing code for cognitive assessment
Updated October 26, 2026
The OHIP billing code for a cognitive assessment is K032A, specific neurocognitive assessment, $80.00. It needs at least 20 minutes of testing memory, attention, language, visuospatial and executive function, done personally on one day. The Mini-Mental State Examination alone doesn't qualify.
| Code | What it is | Fee | When to bill it |
|---|---|---|---|
| K032A | Specific neurocognitive assessment | $80.00 | At least 20 minutes dedicated to testing all five domains, done personally and on the same day. |
| A007A | Intermediate assessment | $44.55 | Follow-up visits about memory concerns that aren't a full neurocognitive test. |
| K002A | Interview with relatives, per unit | $80.00 | A booked interview with family or a substitute decision-maker when the information can't be obtained from the patient. |
| K035A | Mandatory report to the Ministry of Transportation | $36.25 | When the assessment leads to a mandatory medical report to the MTO. |
How to bill it
Test memory, attention, language, visuospatial function and executive function (A58).
Spend at least 20 minutes, consecutive or not, on the testing and scoring alone, all on the same day. Record the start and stop times (A58).
Bill K032A as one service. Bill any assessment for other problems the same day separately; the 20 minutes must be dedicated only to the neurocognitive assessment (A58).
Billing rules
- Must be rendered personally by the physician (A58).
- Acceptable batteries include the short form of the Behavioral Neurology Assessment (BNA) or the Dementia Rating Scale (DRS). The Mini-Mental State Examination (Folstein) isn't acceptable (A58).
- Only one of K032 or K042 per physician per day. K042, the 46-minute extended assessment, is only for geriatrics, neurology and psychiatry (A58).
- K032 isn't on the Appendix J list, so it can't be billed by video or phone (AJ1).
- FHO: K032 is out of basket (not on Agreement Schedule 2, p.79).
- K035 MTO reports: more than one per patient per 12 months by the same physician needs the manual review indicator and supporting documents (A59).
Diagnostic codes
Common rejections
- A3H: More services were billed than allowed. K032 is one service, not per unit, and only one of K032 or K042 is paid to you per day (A58).
Questions
What is the OHIP billing code for cognitive assessment?
The OHIP billing code for a cognitive assessment is K032A, specific neurocognitive assessment, $80.00. It needs at least 20 minutes of testing memory, attention, language, visuospatial and executive function, done personally on one day. The Mini-Mental State Examination alone doesn't qualify.
Can I bill K032 for a MoCA?
The Schedule says the test must cover memory, attention, language, visuospatial and executive function, take at least 20 minutes of dedicated time, and that the MMSE isn't acceptable (A58). It names the BNA short form and the Dementia Rating Scale as examples.
Can a cognitive assessment be done virtually?
Not as K032. It isn't on the Appendix J virtual care list (AJ1).
Related: OHIP billing code for ADHD · OHIP billing code for family meeting · OHIP billing code for home care referral
Sources
All OHIP billing codes by service · See how APEX works · Pricing