All codes
Q528
Q528 – Q528
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q528 to bill for the administration of the COVID-19 vaccine when the patient is 12 years of age or older.
- Apply this code when the primary purpose of the patient visit is the administration of the COVID-19 vaccine, provided no other insured service is rendered.
Common Pitfalls
- Billing Q528 in conjunction with an office visit fee like A007 or A001 is prohibited, as the administration fee is intended to be the sole service provided.
- Submitting Q528 for patients under 12 years of age will result in a rejection; use the age-appropriate pediatric vaccine administration code instead.
Billing Tips
- Ensure the vaccine product itself is not billed as a separate service fee, as the cost of the vaccine is covered under the provincial supply program.
Provider Fee$0.00
Effective: November 1, 2007
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.