All codes
Q131
Q131 – Q131
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q131 to bill for the completion of a specialized form or report when no other specific fee code exists for that document type.
- Apply this code when submitting a report requested by a third party, such as an insurance company or employer, where the service is not covered under the Schedule of Benefits for physician services.
Common Pitfalls
- Do not bill Q131 in conjunction with a standard office visit code like A007, as the administrative fee is intended to be separate from clinical assessment time.
- Avoid using Q131 for reports that are already included in the fee for a procedure or consultation, as this will trigger a rejection for duplicate billing.
Billing Tips
- Ensure the third-party request is clearly documented in the patient chart to justify the administrative nature of the service if audited.
Provider Fee$0.00
Effective: March 31, 2004
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