All codes
Q693
Q693 – Q693
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q693 to bill the 'Chronic Disease Management Incentive' for patients with diabetes, heart failure, hypertension, or COPD who meet the specific annual management requirements.
- Apply this code when you have completed the mandatory annual review and care plan documentation for a patient enrolled in a chronic disease management program.
Common Pitfalls
- Billing Q693 without a corresponding visit code (such as A007 or A001) on the same day will result in a rejection, as the incentive requires a qualifying service.
- Attempting to bill Q693 more than once per patient per 12-month period will trigger an automatic rejection for duplicate service.
Billing Tips
- Ensure the patient's diagnosis code matches the chronic condition specified in the Schedule of Benefits to avoid claim rejection during the automated validation process.
Provider Fee$0.00
Effective: October 1, 2008
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