All codes
Q403
Q403 – Q403
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q403 to bill for the completion of a primary care template or specific clinical form when no other visit-based fee code is applicable.
- Apply this code when documenting the initiation or update of a patient's chronic disease management plan that does not meet the criteria for a full K030 or K033 assessment.
Common Pitfalls
- Do not bill Q403 on the same day as a comprehensive assessment or a minor assessment code, as this will trigger a rejection for duplicate service.
- Avoid using Q403 as a substitute for a visit fee; it is a tracking code and does not carry a monetary value, so it cannot be used to generate revenue for a patient encounter.
Billing Tips
- Use Q403 primarily for shadow billing purposes to track administrative time spent on patient-specific documentation that is not otherwise compensated by OHIP.
Provider Fee$0.00
Effective: August 1, 2016
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.