All codes
Q642
Q642 – Q642
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q642 as a tracking code to indicate that a patient has been enrolled in the Chronic Disease Management (CDM) program for diabetes.
- Apply this code when submitting the initial enrollment for a patient who meets the clinical criteria for the diabetes management incentive.
Common Pitfalls
- Billing Q642 without having a valid, signed enrollment form on file, which is a primary trigger for Ministry of Health audits.
- Attempting to bill Q642 for a patient already enrolled by another physician, which will result in a rejection due to duplicate enrollment.
Billing Tips
- Ensure Q642 is submitted on the same claim as the initial assessment or management visit to confirm the start date of the incentive period.
Provider Fee$0.00
Effective: October 1, 2008
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