All codes
Q679
Q679 – Q679
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q679 as the mandatory administrative fee code when billing for the completion of a third-party form, such as a disability tax credit or insurance report, where the patient is responsible for the fee.
- Apply Q679 in conjunction with the appropriate service code for the form completion to indicate that the service is non-insured and the patient has been billed directly.
Common Pitfalls
- Billing Q679 as a stand-alone code without an associated service record will result in a rejection, as it is an administrative indicator rather than a clinical service.
- Attempting to use Q679 for services that are covered under the Schedule of Benefits, such as standard medical examinations, will trigger an audit for inappropriate patient billing.
Billing Tips
- Ensure the patient is informed of the fee prior to the service, as Q679 signifies a private transaction that falls outside of OHIP coverage.
Provider Fee$0.00
Effective: October 1, 2008
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