All codes
Q133
Q133 – Q133
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q133 as a tracking code when billing the K030 or K031 chronic disease management incentive to indicate the patient has been enrolled in a formal diabetes management program.
- Apply Q133 when reporting the completion of a comprehensive diabetes flow sheet to satisfy the requirements for the Diabetes Management Incentive (DMI).
Common Pitfalls
- Billing Q133 in isolation without an associated K-code will result in a rejection, as it is a non-fee tracking code intended to support other incentive claims.
- Submitting Q133 for patients who do not meet the specific diagnostic criteria for diabetes will trigger an audit flag for inappropriate incentive claiming.
Billing Tips
- Ensure Q133 is submitted on the same claim as your K030 or K031 service to ensure the Ministry correctly links the tracking code to the incentive payment.
Provider Fee$0.00
Effective: March 31, 2004
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