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R999

R999R999

OHIP Radiology Code · Schedule of Benefits

When to Use

  • Use R999 as a placeholder code when a claim is submitted for administrative purposes or to satisfy system requirements where no specific fee-for-service code applies.
  • Utilize this code when documenting a 'no-charge' encounter that must be recorded in the OHIP system for tracking purposes, such as certain specialized program reporting.

Common Pitfalls

  • Attempting to use R999 to bypass billing edits for services that actually have a defined fee code will result in immediate rejection.
  • Relying on R999 for patient encounters that should be billed under standard assessment codes like A007 or A001 leads to lost revenue and inaccurate practice profiles.

Billing Tips

  • Ensure R999 is only used when explicitly instructed by the Ministry of Health or specific billing software protocols for non-remunerated services.
Provider Fee$0.00

Effective: January 1, 2019

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