All codes
T800
T800 – T800
OHIP Other Code · Schedule of Benefits
When to Use
- Use T800 as a tracking code for specific administrative or non-insured services that do not carry a direct OHIP fee but require documentation in the billing system.
- Utilize this code when recording a service that is part of a bundled payment or a specific program requirement where a $0.00 entry is mandated for reconciliation purposes.
Common Pitfalls
- Do not bill T800 in conjunction with an A007 or A001 assessment code for the same patient encounter, as this may trigger a rejection for duplicate service reporting.
- Avoid using T800 as a placeholder for billable services; failing to use the correct diagnostic or procedural code will result in lost revenue and potential audit scrutiny.
Billing Tips
- Ensure your EMR is configured to treat T800 as a non-claimable service to prevent it from being submitted to the Ministry of Health, which would result in an immediate rejection.
Provider Fee$0.00
Effective: November 1, 2017
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