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Y812

Y812Y812

OHIP Other Code · Schedule of Benefits

When to Use

  • Use Y812 as a mandatory administrative tracking code when submitting claims for specific provincial programs that require a zero-dollar service record to trigger payment or data capture.
  • Apply this code when instructed by the Ministry of Health to facilitate the processing of specific bundled services or specialized incentive payments that do not have a direct fee-for-service value.

Common Pitfalls

  • Billing Y812 in isolation without the associated primary service code will result in a rejection, as it is a supplementary tracking code rather than a standalone billable service.
  • Mistaking Y812 for a fee-bearing service code; it carries a zero-dollar value and is intended strictly for administrative reporting or program-specific reconciliation.

Billing Tips

  • Always verify the current Schedule of Benefits or specific program bulletins to ensure Y812 is the required companion code for the primary service you are submitting.
Provider Fee$0.00
Surgical Assistant Fee$55.90
Non-Anaesthetist Fee$27.17

Effective: April 1, 2026

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