All codes
Q641
Q641 – Q641
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q641 to bill for the completion of the Ontario Ministry of Health's 'Application for Approval of Out-of-Country Hospital Services' form.
- Apply this code when a patient requires specialized medical treatment not available in Ontario and you are facilitating the formal request for government-funded out-of-country coverage.
Common Pitfalls
- Billing Q641 alongside a standard office visit fee (A007) is often rejected; ensure the service is billed as a standalone administrative encounter if no other clinical assessment occurred.
- Submitting this code without the corresponding ministry-approved application form on file will lead to recovery during a post-payment audit.
Billing Tips
- Ensure the patient's health card number and the specific out-of-country facility details are accurately recorded in the claim to prevent processing delays.
Provider Fee$0.00
Effective: October 1, 2008
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