All codes
Q690
Q690 – Q690
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q690 as the mandatory administrative code to bill the 'Chronic Disease Management Incentive' when you have successfully completed the annual assessment and care plan requirements for a patient with diabetes, hypertension, CHF, or COPD.
- Apply this code in conjunction with the specific chronic disease management fee (e.g., K030 for diabetes) to trigger the payment for the annual management service.
Common Pitfalls
- Billing Q690 without an associated qualifying chronic disease management fee code will result in a rejection, as Q690 is a non-fee-bearing administrative trigger.
- Attempting to bill Q690 more than once per patient per 12-month period for the same chronic condition will lead to automatic claim denial.
Billing Tips
- Ensure the patient's diagnosis is clearly linked in your EMR to the specific chronic disease management code being billed alongside Q690 to satisfy audit requirements for the incentive.
Provider Fee$0.00
Effective: October 1, 2008
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