All codes
G013
G013 – G013
OHIP Diagnostic & Therapeutic Procedures Code · Schedule of Benefits
When to Use
- Use G013 as the mandatory administrative code to initiate a Chronic Disease Management (CDM) incentive claim for patients enrolled in your FHO or FHN.
- Apply this code when documenting the completion of a comprehensive annual review for patients with specific chronic conditions like diabetes, asthma, or hypertension.
Common Pitfalls
- Billing G013 without a corresponding diagnostic code or failing to link it to the specific chronic disease management service provided will result in a rejection.
- Attempting to bill G013 on the same day as a comprehensive assessment (A007) is often flagged by the Ministry as an unbundling error.
Billing Tips
- Ensure G013 is submitted as a $0.00 service code to trigger the tracking of the CDM incentive payment, which is paid separately based on the patient's enrollment status.
Provider Fee$0.00
Effective: April 1, 2004
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