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Q609

Q609Q609

OHIP Critical Care Code · Schedule of Benefits

When to Use

  • Use Q609 as the mandatory diagnostic code when billing the K030 or K031 mental health counselling codes to indicate the service was provided via telephone.
  • Apply Q609 when submitting claims for virtual care services where the patient-physician interaction occurred exclusively through audio-only communication.

Common Pitfalls

  • Failing to append Q609 to a K-code will result in a rejection or a manual audit flag because the Ministry requires a service location indicator for virtual mental health services.
  • Do not use Q609 for video-based encounters, as these require different modifiers or service codes depending on the specific virtual care policy in effect.

Billing Tips

  • Ensure your EMR is configured to automatically attach Q609 to the claim whenever a K030 or K031 code is selected with a 'Telephone' encounter type to prevent submission errors.
Provider Fee$0.00

Effective: October 1, 2008

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