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Q311
Q311 – Q311
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q311 for the initial assessment and management of a patient presenting with a minor illness or injury that does not meet the criteria for a full A007 or A001 assessment.
- Apply this code when providing a focused follow-up for a specific condition that requires less clinical intensity than a standard intermediate assessment.
Common Pitfalls
- Billing Q311 in conjunction with a full assessment code like A007 on the same day for the same patient will result in an automatic rejection for duplicate service.
- Using Q311 for complex chronic disease management is an audit risk, as it is intended for minor, low-complexity encounters rather than comprehensive care.
Billing Tips
- Ensure the clinical notes clearly reflect the minor nature of the visit to justify the use of Q311 over higher-valued assessment codes.
Provider Fee$17.00
Effective: April 1, 2026
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