All codes
T816
T816 – T816
OHIP Other Code · Schedule of Benefits
When to Use
- Use T816 as the mandatory tracking code when billing for the administration of the COVID-19 vaccine in a primary care setting.
- Apply this code alongside the appropriate visit fee (e.g., A007) to indicate that the encounter was specifically for the purpose of COVID-19 immunization.
Common Pitfalls
- Failing to include T816 on the claim will result in the rejection of the associated immunization incentive or visit fee in specific billing environments.
- Do not bill T816 as a standalone service; it must be submitted in conjunction with a valid visit code to be processed correctly.
Billing Tips
- Ensure T816 is linked to the same date of service as the visit fee to avoid claim reconciliation errors.
Provider Fee$0.01
Specialist Fee$0.01
Effective: November 7, 2020
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