All codes
V409
V409 – V409
OHIP Other Code · Schedule of Benefits
When to Use
- Use V409 when performing a formal, documented consultation for a patient with a suspected or confirmed diagnosis of a communicable disease requiring public health reporting.
- Apply this code when managing the initial assessment and contact tracing coordination for patients presenting with reportable infectious conditions that fall outside the scope of a standard A007 assessment.
Common Pitfalls
- Billing V409 in conjunction with a standard office visit code like A007 is considered unbundling and will result in a rejection or recovery during audit.
- Failing to include the specific diagnostic code related to the communicable disease will trigger an automatic rejection, as V409 requires a valid ICD-9 code for the reportable condition.
Billing Tips
- Ensure the clinical notes explicitly detail the public health reporting requirements met during the visit to justify the use of V409 over a standard assessment code.
Provider Fee$55.00
Effective: April 1, 2023
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.