All codes
Q130
Q130 – Q130
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q130 as the mandatory tracking code when submitting a claim for a Chronic Disease Management incentive, such as K030, to indicate the service was provided.
- Apply Q130 when billing for the annual management of patients with specific chronic conditions like diabetes, hypertension, or asthma to satisfy the Ministry's reporting requirements for these programs.
Common Pitfalls
- Failing to link Q130 to the corresponding fee code on the same claim will result in a rejection, as the Ministry requires the tracking code to validate the incentive payment.
- Billing Q130 without an associated qualifying diagnostic code (ICD-9) for the chronic condition being managed will trigger an automatic audit flag.
Billing Tips
- Always ensure Q130 is submitted on the same claim record as the primary service code to avoid 'missing tracking code' error messages.
Provider Fee$0.00
Effective: March 31, 2004
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