All codes
Q620
Q620 – Q620
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q620 to bill the Chronic Disease Management (CDM) incentive for patients with diabetes when you have provided comprehensive care and met the annual management requirements.
- Apply this code when you have completed the mandatory annual review for a patient enrolled in your FHO or FHN roster to trigger the specific diabetes management payment.
Common Pitfalls
- Billing Q620 without having a valid, active diabetes diagnosis code (ICD-9 250) linked to the patient's chart, which will trigger an automatic rejection.
- Attempting to claim Q620 for the same patient within 365 days of a previous successful claim, as this is an annual incentive code.
Billing Tips
- Ensure the patient is formally rostered to your practice, as Q620 is restricted to physicians within the Primary Care Model who are eligible for CDM incentives.
Provider Fee$0.00
Effective: October 1, 2008
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