All codes
Q666
Q666 – Q666
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q666 as the mandatory administrative code to trigger the payment of the Q040A premium when billing for specific chronic disease management services.
- Apply Q666 when submitting claims for the Diabetes Management Incentive (Q040A) to ensure the system recognizes the service as eligible for the premium.
Common Pitfalls
- Failing to include Q666 on the same claim as Q040A will result in the automatic rejection of the premium payment.
- Billing Q666 in isolation without a corresponding eligible service code like Q040A is a billing error that provides no financial benefit.
Billing Tips
- Always ensure Q666 is linked to the primary service code in your billing software to prevent the omission of the premium trigger.
Provider Fee$0.00
Effective: October 1, 2008
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