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Y813
Y813 – Y813
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y813 to bill for the administration of the Influenza vaccine when no other visit fee is claimed.
- Use this code when providing a nurse-led immunization clinic where the physician is not performing a comprehensive assessment.
Common Pitfalls
- Billing Y813 in conjunction with a comprehensive assessment code like A007 or A003 will result in a rejection or manual review for unbundling.
- Attempting to claim Y813 for non-influenza immunizations, which must be billed under their specific respective codes or the general injection fee G384.
Billing Tips
- Ensure the vaccine product is billed using the appropriate drug PIN or supply code if applicable, as Y813 covers the administration service only.
Provider Fee$0.00
Surgical Assistant Fee$156.95
Non-Anaesthetist Fee$81.25
Effective: April 1, 2026
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