All codes
V849
V849 – V849
OHIP Other Code · Schedule of Benefits
When to Use
- Use V849 as a tracking code when submitting claims for specific administrative or non-insured services that require a record in the OHIP system without generating a professional fee payment.
- Utilize this code to link or 'zero-out' specific service encounters that are part of a bundled program requirement where the primary service is billed under a different code.
Common Pitfalls
- Avoid using V849 as a substitute for a valid assessment code (like A007) when a patient encounter has occurred, as this will result in a zero-dollar payment for a billable service.
- Do not attempt to append V849 to a claim that requires a diagnostic code, as the lack of a fee and specific purpose can trigger audit flags for improper claim structure.
Billing Tips
- Ensure V849 is only used when explicitly instructed by specific Ministry of Health billing manuals or program-specific guidelines, as it is not a standard fee-for-service billing code.
Provider Fee$0.00
Specialist Fee$0.00
Effective: April 1, 2024
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