All codes
Q610
Q610 – Q610
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q610 as the mandatory administrative code when submitting a claim for the Chronic Disease Management Incentive (K030) to indicate the patient has been enrolled in the program.
- Apply Q610 when documenting the initial registration of a patient into a formal chronic disease management plan to satisfy the requirement for tracking enrollment status.
Common Pitfalls
- Billing Q610 without an accompanying K030 service code will result in a rejected claim or a failure to trigger the incentive payment.
- Attempting to bill Q610 for patients who have not met the specific diagnostic criteria for the chronic disease program will lead to audit recovery during a Ministry review.
Billing Tips
- Ensure Q610 is submitted on the same claim as the K030 service to ensure the system correctly links the enrollment status to the incentive payment.
Provider Fee$0.00
Effective: October 1, 2008
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