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Q525

Q525Q525

OHIP Critical Care Code · Schedule of Benefits

When to Use

  • Use Q525 to bill for the completion of a mandatory Ministry of Health form or report that does not have a specific fee code assigned.
  • Apply this code when submitting required documentation for patient eligibility or specific administrative requests from the Ministry that are not covered under standard office visit fees.

Common Pitfalls

  • Billing Q525 for routine chart notes or internal referrals, which are considered part of the global fee for an office visit and are not separately billable.
  • Submitting Q525 for third-party forms (like insurance or disability applications) which should be billed directly to the patient or the requesting agency rather than OHIP.

Billing Tips

  • Ensure the specific Ministry requirement or regulation mandating the form is clearly referenced in your billing notes to justify the claim during an audit.
Provider Fee$0.00

Effective: November 1, 2007

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