All codes
Q686
Q686 – Q686
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q686 as a tracking code for the initial assessment of a patient enrolled in the Chronic Disease Management (CDM) program for diabetes.
- Apply this code when documenting the creation of a formal diabetes management plan that meets the specific requirements of the Ministry of Health.
Common Pitfalls
- Billing Q686 without a corresponding K030 or K031 visit code, which is often required to substantiate the clinical work performed.
- Attempting to bill Q686 more than once per patient per year, as it is strictly an annual tracking code for the CDM program.
Billing Tips
- Ensure the patient is officially registered in the CDM program before submitting Q686, as claims will be rejected if the patient is not linked to your practice for this specific program.
Provider Fee$0.00
Effective: October 1, 2008
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