All codes
Q605
Q605 – Q605
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q605 to claim the Chronic Disease Management (CDM) incentive for patients with diabetes when you have completed the required annual comprehensive assessment.
- Apply this code when managing patients with hypertension or congestive heart failure who meet the specific diagnostic criteria outlined in the Schedule of Benefits for the CDM incentive.
Common Pitfalls
- Billing Q605 for the same patient within 12 months of a previous successful claim, which will result in an automatic rejection.
- Failing to ensure the patient has a valid diagnosis code on file that matches the chronic disease criteria required for the Q605 incentive payment.
Billing Tips
- Always pair Q605 with the appropriate visit code (e.g., A007) on the same day to ensure the encounter is properly linked to the incentive claim.
Provider Fee$0.00
Effective: October 1, 2008
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