All codes
Q694
Q694 – Q694
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q694 as the mandatory administrative code when billing the Q040A premium for a patient seen in the emergency department during a designated after-hours period.
- Apply this code in conjunction with the appropriate consultation or assessment fee to satisfy the billing requirements for the Emergency Department After-Hours Premium.
Common Pitfalls
- Billing Q694 without an accompanying Q040A premium code will result in a rejection or an unnecessary administrative error.
- Attempting to use Q694 for routine office visits outside of the emergency department setting is invalid and will be rejected by the Ministry.
Billing Tips
- Ensure the service date and time recorded for Q694 align precisely with the emergency department visit to avoid audit flags regarding the after-hours eligibility.
Provider Fee$0.00
Effective: October 1, 2008
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