All codes
Q658
Q658 – Q658
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q658 as the mandatory administrative code when billing the K030 or K031 chronic disease management incentive to indicate the patient has been enrolled in a formal management program.
- Apply Q658 when submitting the annual management fee for patients with diabetes, hypertension, congestive heart failure, or COPD to satisfy the enrollment requirement.
Common Pitfalls
- Billing Q658 without a corresponding K-code for chronic disease management will result in a rejection, as it is a tracking code rather than a standalone service fee.
- Submitting Q658 multiple times in a single year for the same patient is unnecessary and may trigger an audit flag for duplicate enrollment reporting.
Billing Tips
- Ensure Q658 is submitted on the same claim as the K030/K031 service to ensure the system correctly links the enrollment status to the annual incentive payment.
Provider Fee$0.00
Effective: October 1, 2008
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