All codes
Q619
Q619 – Q619
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q619 as the mandatory administrative code when submitting a claim for the Chronic Disease Management Incentive (Q040) to indicate the completion of a diabetes flow sheet.
- Apply Q619 when documenting the annual review of a patient's diabetes management plan to satisfy the requirements for the diabetes management incentive program.
Common Pitfalls
- Billing Q619 without an accompanying Q040 claim will result in a rejection, as Q619 is a tracking code rather than a fee-for-service item.
- Submitting Q619 more than once per patient per 12-month period is a common audit trigger, as the incentive is strictly limited to an annual frequency.
Billing Tips
- Ensure the date of service for Q619 matches the date of the clinical encounter where the diabetes flow sheet was updated to maintain audit alignment.
Provider Fee$0.00
Effective: October 1, 2008
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