All codes
Q672
Q672 – Q672
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q672 to bill for the completion of a mandatory Ministry of Health form related to the Chronic Disease Management Incentive (CDM) when the patient is enrolled in a FHO or FHN model.
- Apply this code when documenting the annual review of a patient's chronic disease management plan to satisfy the requirements for the Q040A or Q050A incentive payments.
Common Pitfalls
- Billing Q672 in isolation without an associated valid chronic disease management visit code will result in a rejection for lack of service linkage.
- Attempting to bill Q672 for patients not formally enrolled in your FHO/FHN roster will lead to automatic claim denial by the Ministry.
- Submitting Q672 on the same day as a comprehensive assessment code like A007A can trigger an audit flag if the clinical documentation does not clearly distinguish the two distinct services.
Billing Tips
- Ensure the Q672 is submitted on the same claim file as the corresponding visit code to maintain the required audit trail for the CDM incentive.
Provider Fee$0.00
Effective: October 1, 2008
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