All codes
Q092
Q092 – Q092
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q092 to report the completion of a formal, documented assessment for a patient enrolled in a Primary Care model, such as the Comprehensive Health Assessment for patients aged 65 and older.
- Apply this code when performing the annual health review for patients with chronic conditions to satisfy the requirements for the Chronic Disease Management incentive.
Common Pitfalls
- Billing Q092 on the same day as a minor assessment code like A007 or A001 will result in a rejection, as the comprehensive assessment is intended to be the primary service provided.
- Failure to meet the specific time requirements or documentation elements mandated by the Ministry for the associated incentive program will lead to clawbacks during post-payment audits.
Billing Tips
- Ensure the diagnostic code used with Q092 aligns with the specific chronic condition or age-based criteria required by the incentive program to avoid automatic system rejections.
Provider Fee$0.00
Effective: December 1, 2007
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