All codes
V304
V304 – V304
OHIP Other Code · Schedule of Benefits
When to Use
- Use V304 when billing for the administration of a specific immunization or injection where the vaccine/drug is provided by the ministry or the physician's office.
- Apply this code when the patient visit is exclusively for the purpose of receiving an injection, rather than a comprehensive assessment or consultation.
Common Pitfalls
- Billing V304 in addition to a full office visit code like A007 is often rejected or flagged as unbundling if the injection is considered part of the visit's scope.
- Submitting V304 without the appropriate diagnostic code or the specific drug identification number (DIN) required by the ministry will result in immediate rejection.
Billing Tips
- Ensure you are not billing V304 if the injection is already included in the global fee of a procedure or a specialized clinic visit code.
- Verify if your specific region or specialty allows for the concurrent billing of a minor assessment code alongside V304, as this varies by provincial billing policy.
Provider Fee$7.00
Effective: February 1, 1985
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