All codes
Q623
Q623 – Q623
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q623 to bill for the completion of a specialized form or report that is not covered by the standard office visit fee, such as specific insurance or disability documentation.
- Apply this code when the service provided is strictly administrative in nature and does not involve a face-to-face clinical assessment that would otherwise be billed under an A-code.
Common Pitfalls
- Billing Q623 in conjunction with a consultation or assessment code on the same day often results in a rejection for 'duplicate service' or 'bundled service' if the documentation does not clearly separate the administrative task from the clinical encounter.
- Failure to maintain a copy of the completed form or report in the patient's medical record is a primary cause for clawbacks during OHIP audits.
Billing Tips
- Ensure the patient's health card number and the specific purpose of the report are clearly linked in your billing software to avoid rejection due to missing mandatory diagnostic or service indicators.
Provider Fee$0.00
Effective: October 1, 2008
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