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Q634

Q634Q634

OHIP Critical Care Code · Schedule of Benefits

When to Use

  • Use Q634 to bill for the completion of a specialized form or report that is not covered by a standard office visit fee, specifically when mandated by a third party.
  • Apply this code when submitting the mandatory documentation for the Ontario Disability Support Program (ODSP) or similar provincial administrative requirements that require physician certification.

Common Pitfalls

  • Do not bill Q634 in conjunction with a standard assessment code like A007, as the Ministry considers the administrative work included in the visit fee if performed simultaneously.
  • Avoid using Q634 for private insurance forms or employer-requested sick notes, as these are non-insured services that should be billed directly to the patient or third party, not OHIP.

Billing Tips

  • Ensure the specific form name or reference number is clearly noted in your billing software to justify the claim during a potential Ministry audit.
Provider Fee$0.00

Effective: October 1, 2008

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