All codes
Y810
Y810 – Y810
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y810 as the mandatory administrative code when billing for the completion of the 'Application for Determination of Eligibility' for the Ontario Disability Support Program (ODSP).
- Apply this code in conjunction with K035 when performing the required medical review for a patient's disability status.
Common Pitfalls
- Billing Y810 without an associated K035 or equivalent assessment code will result in a rejection, as Y810 has a zero-dollar value and acts only as a tracking indicator.
- Attempting to bill Y810 for general insurance forms or non-ODSP disability paperwork is a common audit trigger for inappropriate code usage.
Billing Tips
- Ensure the K035 is submitted on the same claim as Y810 to satisfy the Ministry's requirement for linking the administrative tracking code to the clinical service provided.
Provider Fee$0.00
Surgical Assistant Fee$102.50
Non-Anaesthetist Fee$56.10
Effective: April 1, 2026
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