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Q629

Q629Q629

OHIP Critical Care Code · Schedule of Benefits

When to Use

  • Use Q629 as the mandatory administrative fee code when billing for the completion of a third-party form, such as a sick note or insurance document, where the patient is responsible for the fee.
  • Apply this code in conjunction with the appropriate service code to indicate that the service is non-insured and the patient has been billed directly.

Common Pitfalls

  • Billing Q629 alongside an insured service code (e.g., A007) will result in a rejection, as this code is strictly for non-insured services.
  • Failing to include the specific fee amount charged to the patient can lead to administrative discrepancies during reconciliation.

Billing Tips

  • Ensure the patient is informed of the fee prior to the service, as Q629 serves as the billing marker for private charges that are not covered by OHIP.
Provider Fee$0.00

Effective: October 1, 2008

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