All codes
Q645
Q645 – Q645
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q645 to report the completion of a comprehensive annual health examination for patients enrolled in a Patient Enrolment Model (PEM) when the visit meets the requirements of a periodic health review.
- Apply this code as the primary service indicator when billing for a preventative health encounter that is distinct from a standard A007 or A008 office visit.
Common Pitfalls
- Billing Q645 on the same day as a minor assessment or other procedural codes can trigger an automatic rejection due to duplicate service or global fee conflicts.
- Failing to ensure the patient is actively enrolled in your roster at the time of service will result in a rejection, as this code is specific to PEM-based preventative care.
Billing Tips
- Ensure your EMR is configured to link Q645 with the appropriate diagnostic code to satisfy the Ministry's requirement for preventative health tracking.
Provider Fee$0.00
Effective: October 1, 2008
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