All codes
Q685
Q685 – Q685
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q685 as the mandatory administrative code to claim the Chronic Disease Management (CDM) incentive for patients with diabetes when billing for a comprehensive annual review.
- Apply Q685 in conjunction with K030 to track and trigger the annual diabetes management fee payment for eligible patients.
Common Pitfalls
- Billing Q685 without a corresponding K030 or equivalent visit code will result in a rejection as it is a tracking code rather than a standalone service fee.
- Submitting Q685 more than once per 12-month period for the same patient will trigger an automatic rejection by the Ministry.
Billing Tips
- Ensure Q685 is submitted on the same claim as your K030 service code to ensure the system correctly links the incentive payment to the clinical encounter.
Provider Fee$0.00
Effective: October 1, 2008
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