All codes
T815
T815 – T815
OHIP Other Code · Schedule of Benefits
When to Use
- Use T815 as a tracking code for specific administrative or non-insured service encounters where no direct patient service fee is applicable but the encounter must be recorded in the billing system.
- Utilize this code when documenting specific internal audit or quality assurance review sessions that require a placeholder entry in the OHIP submission file.
Common Pitfalls
- Do not attempt to use T815 as a substitute for a consultation or assessment code, as it carries a nominal value and will result in significant revenue loss.
- Avoid submitting T815 for insured clinical services, as the Ministry may flag the account for manual review due to the lack of a standard fee schedule value.
Billing Tips
- Ensure T815 is only used for internal tracking purposes and never as a primary billing code for patient-facing clinical activities.
Provider Fee$0.01
Specialist Fee$0.01
Effective: November 7, 2020
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