All codes
Q649
Q649 – Q649
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q649 as the mandatory administrative fee code when billing for the completion of a third-party medical certificate or report where no specific fee code exists.
- Apply this code when submitting claims for services that are not covered under the Schedule of Benefits but require a formal administrative submission to the Ministry for tracking purposes.
Common Pitfalls
- Do not bill Q649 in conjunction with an insured office visit (A007) for the same patient encounter, as this will trigger a rejection for duplicate service.
- Avoid using Q649 as a substitute for specific procedure codes; it is an administrative tracking code and does not generate a professional fee payment.
Billing Tips
- Ensure Q649 is linked to the correct diagnostic code that justifies the administrative request to avoid automatic claim flagging.
Provider Fee$0.00
Effective: October 1, 2008
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