All codes
Q703
Q703 – Q703
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q703 to bill the 'Chronic Disease Management Incentive' for patients enrolled in a FHO, FHN, or FPO model who meet the specific chronic condition criteria.
- Apply this code when managing patients with eligible chronic conditions like diabetes, hypertension, or asthma to trigger the annual incentive payment.
Common Pitfalls
- Billing Q703 for patients not formally enrolled in your primary care model will result in an automatic rejection.
- Attempting to bill this code more than once per patient per 12-month period will trigger a rejection as it is an annual incentive.
Billing Tips
- Ensure the patient's chronic disease diagnosis is clearly linked in your EMR to satisfy the Ministry's audit requirements for the incentive payment.
Provider Fee$0.00
Effective: October 1, 2008
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