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Q532

Q532Q532

OHIP Critical Care Code · Schedule of Benefits

When to Use

  • Use Q532 to bill for the completion of a Ministry of Health approved form that does not have a specific fee code assigned, typically for third-party administrative requests.
  • Apply this code when submitting a report requested by a government agency where the service is not covered by a standard office visit fee like A007.
  • Utilize Q532 when the service involves the administrative processing of specific forms mandated by the Ministry that are explicitly designated for this billing code.

Common Pitfalls

  • Billing Q532 in conjunction with a standard assessment code like A007 for the same patient encounter often leads to rejection for unbundling.
  • Using Q532 for private insurance forms or employer-requested sick notes is incorrect, as these are non-insured services that should be billed directly to the patient.
  • Failing to include the required diagnostic code or specific form identifier can trigger an automatic rejection from the Ministry.

Billing Tips

  • Ensure the specific form name or reference number is clearly noted in your billing software to justify the use of Q532 during a potential audit.
  • Verify that the requested form is indeed a Ministry-approved document, as Q532 is strictly reserved for government-mandated administrative tasks.
Provider Fee$0.00

Effective: November 1, 2007

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