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V855

V855V855

OHIP Other Code · Schedule of Benefits

When to Use

  • Use V855 to report the body mass index (BMI) for pediatric patients aged 2 to 17 years when assessing growth and nutritional status.
  • Apply this code in conjunction with a physical examination or health supervision visit to track obesity or underweight trends in children.

Common Pitfalls

  • Billing V855 for adult patients is incorrect; use V854 for patients aged 18 and older.
  • Submitting V855 as a standalone service will result in rejection, as it is a diagnostic code intended to be billed alongside a primary visit code.

Billing Tips

  • Ensure the calculated BMI value is clearly documented in the patient's chart to support the use of the code during an audit.
Provider Fee$0.00
Specialist Fee$0.00

Effective: April 1, 2025

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