All codes
Q625
Q625 – Q625
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q625 to bill for the administration of the COVID-19 vaccine when provided as a standalone service to an eligible patient.
- Apply this code when the vaccine administration occurs during a visit where no other insured service is provided, ensuring the claim is linked to the appropriate diagnostic code.
Common Pitfalls
- Billing Q625 in addition to a comprehensive assessment or minor procedure code for the same patient on the same day often leads to rejection or audit flags for unbundling.
- Failure to include the mandatory diagnostic code associated with the immunization program can result in automatic claim rejection by the Ministry.
Billing Tips
- Ensure that Q625 is submitted as a zero-dollar claim, as the fee is intended for tracking and administrative purposes rather than direct physician compensation.
Provider Fee$0.00
Effective: October 1, 2008
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