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Q402

Q402Q402

OHIP Critical Care Code · Schedule of Benefits

When to Use

  • Use Q402 to bill for the completion of a mandatory Ministry of Health form or certificate when no other specific fee code exists for the service.
  • Apply this code when documenting the necessity of a specific medical device or service that requires a formal physician sign-off for provincial coverage.

Common Pitfalls

  • Do not bill Q402 in conjunction with a standard office visit code like A007, as the Ministry considers the administrative work included in the visit fee.
  • Avoid using Q402 for private notes or letters to third parties; these are uninsured services that should be billed directly to the patient, not OHIP.

Billing Tips

  • Ensure the specific form or certificate name is clearly referenced in your billing notes to justify the administrative claim if audited.
Provider Fee$0.00

Effective: August 1, 2016

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