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V412

V412V412

OHIP Other Code · Schedule of Benefits

When to Use

  • Use V412 to bill for the completion of a mandatory Ministry of Transportation (MTO) medical report when requested by the ministry for a patient's license renewal.
  • Apply this code when the physician is specifically tasked with assessing a patient's fitness to drive following a medical event, distinct from a standard periodic health examination.

Common Pitfalls

  • Billing V412 in addition to a standard office visit (A007) for the same encounter is considered double-dipping and will result in a rejection or audit recovery.
  • Submitting V412 for private insurance forms or employer-requested fitness-to-work notes is incorrect; these are non-insured services that should be billed directly to the patient.

Billing Tips

  • Ensure the MTO request form is fully completed and dated, as the Ministry may audit the existence of the specific request documentation to support the claim.
Provider Fee$25.00

Effective: September 1, 2023

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