All codes
T809
T809 – T809
OHIP Other Code · Schedule of Benefits
When to Use
- Use T809 as a mandatory administrative placeholder when submitting a claim for a service that has a zero-dollar fee but requires a record of the encounter in the OHIP system.
- Apply this code when documenting specific non-insured services or administrative procedures that are tracked by the Ministry but do not carry a monetary value for the physician.
Common Pitfalls
- Attempting to bill T809 in conjunction with a fee-for-service code that already includes the administrative work in its global fee, leading to potential audit flags for unbundling.
- Misinterpreting T809 as a billable diagnostic or procedural code, which will result in a zero-dollar payment and no additional premiums or modifiers being applied.
Billing Tips
- Ensure T809 is only used when explicitly required by specific Ministry billing instructions or local health authority mandates, as it does not generate revenue.
Provider Fee$0.00
Effective: February 1, 2011
Since Apr 2002, this fee has decreased NaN% vs 14.3% CPI inflation
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