All codes
Q661
Q661 – Q661
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q661 as the mandatory tracking code when billing the K030 or K031 chronic disease management incentive for patients with diabetes.
- Apply this code to every claim where you are claiming the annual management fee for a patient enrolled in a Diabetes Management program.
Common Pitfalls
- Submitting K030 or K031 without the accompanying Q661 will result in an automatic rejection of the incentive fee.
- Using Q661 for patients who are not formally registered or do not meet the specific diagnostic criteria for the diabetes management incentive is a common audit trigger.
Billing Tips
- Ensure Q661 is submitted on the same claim as the K030/K031 service code to maintain the required linkage for the Ministry's payment system.
Provider Fee$0.00
Effective: October 1, 2008
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