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Q728
Q728 – Q728
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q728 to bill for the completion of the Ontario Ministry of Health 'Request for Pre-approval' form for specialized medical supplies or equipment.
- Apply this code when documenting the clinical necessity for items that require prior authorization before they can be funded under the Assistive Devices Program (ADP).
Common Pitfalls
- Do not bill Q728 in conjunction with an office visit code like A007, as the administrative fee is intended to be stand-alone for the form completion.
- Avoid using Q728 for general letters or non-ADP related medical certificates, as these are considered non-insured services and should be billed privately to the patient.
Billing Tips
- Ensure the specific ADP form number is cross-referenced in your medical records to justify the Q728 claim in the event of a Ministry audit.
Provider Fee$0.00
Effective: October 1, 2008
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