All codes
Q742
Q742 – Q742
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q742 as the mandatory administrative code to bill the Chronic Disease Management (CDM) incentive for patients enrolled in your FHO or FHN roster.
- Apply this code when submitting claims for the annual management of patients with specific chronic conditions like diabetes, hypertension, or COPD to trigger the associated fee-for-service premium.
Common Pitfalls
- Billing Q742 for a patient who is not currently enrolled in your roster will result in an automatic rejection.
- Attempting to bill Q742 in conjunction with a standard office visit code (A007) without meeting the specific diagnostic criteria for the chronic disease management program will lead to audit flags.
Billing Tips
- Ensure Q742 is linked to the appropriate diagnostic code for the chronic condition being managed to satisfy the Ministry's validation requirements for the incentive payment.
Provider Fee$0.00
Effective: January 1, 2013
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