All codes
Q716
Q716 – Q716
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q716 as a mandatory administrative code when submitting a claim for a Chronic Disease Management incentive (such as Q040 or Q041) to indicate the patient has been diagnosed with hypertension.
- Apply this code alongside primary visit codes when documenting a patient's hypertension status to satisfy the Ministry's requirement for tracking chronic disease prevalence.
Common Pitfalls
- Submitting Q716 as a standalone service code will result in a rejection because it carries a $0.00 fee and is strictly an informational modifier.
- Failing to include Q716 when billing for hypertension-related chronic disease management incentives will trigger an automatic rejection of the incentive payment.
Billing Tips
- Ensure Q716 is appended to the same claim as your primary assessment code to ensure the Ministry links the diagnosis to the service provided.
Provider Fee$0.00
Effective: October 1, 2008
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