Q200A – Per Patient Rostering Fee
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
This code is a special visit premium with a 'Q' prefix, indicating it applies to services rendered in a non-professional setting not otherwise listed, as described in Special Visit Premium Table IX on page . Special visits are defined as a visit initiated by a patient or an individual on behalf of the patient for the purpose of rendering a non-elective service. General payment rules for special visit premiums are outlined on pages to . These premiums are only payable with certain services from the 'Consultations and Visits' and 'Diagnostic and Therapeutic Procedures' sections and are not payable for routine rounds, elective admissions, or with H prefix emergency department codes. Claims must include the time of the visit on the medical record. Since Q200A is not explicitly listed in the provided Special Visit Premium Table IX, its specific fee, associated time period (e.g., daytime, evening), and usage limits cannot be determined from the provided context.
When to Use
- Use Q200A exclusively for the initial rostering of a patient to your practice when utilizing the Patient Enrolment Form (PEF) process.
- Apply this code when submitting the enrolment data to the Ministry to trigger the formal attachment of a patient to your primary care roster.
Common Pitfalls
- Do not attempt to bill Q200A as a clinical visit premium; it is an administrative rostering fee and does not trigger special visit premium rules.
- Avoid submitting Q200A for patients already rostered to your practice, as duplicate rostering claims will be rejected by the Ministry.
Billing Tips
- Ensure the patient's Health Number and version code are verified against the Ministry database prior to submission to prevent automatic rejection of the rostering fee.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.