All codes
V408
V408 – V408
OHIP Other Code · Schedule of Benefits
When to Use
- Use V408 for the initial assessment of a patient presenting with a specific minor illness or injury that does not meet the criteria for a comprehensive assessment.
- Apply this code for follow-up visits where a focused reassessment of a previously diagnosed condition is required, provided it does not qualify for a specific chronic disease management code.
Common Pitfalls
- Billing V408 in conjunction with a comprehensive assessment code like A007 on the same day for the same patient will trigger an automatic rejection.
- Using V408 for routine prescription renewals without a documented clinical assessment of the patient's condition is a frequent cause of audit recovery.
Billing Tips
- Ensure the clinical note clearly distinguishes the V408 encounter from any other services provided on the same day to avoid 'duplicate service' flags.
Provider Fee$25.15
Effective: September 1, 2023
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