All codes
Y815
Y815 – Y815
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y815 as the mandatory diagnostic code when billing for the administration of the COVID-19 vaccine to patients who do not have a valid OHIP number.
- Apply this code specifically for uninsured patients receiving the immunization to ensure the encounter is tracked correctly by the Ministry without requiring a standard health card number.
Common Pitfalls
- Do not use Y815 for patients who possess a valid OHIP card, as this will trigger a rejection; use the standard diagnostic code for the vaccine administration instead.
- Avoid using Y815 as a primary diagnosis for general office visits, as it is strictly reserved for the specific administrative tracking of uninsured COVID-19 immunizations.
Billing Tips
- Ensure the patient's demographic information is entered as 'Uninsured' in your EMR to prevent the system from defaulting to standard OHIP validation checks that conflict with this code.
Provider Fee$0.00
Surgical Assistant Fee$152.95
Non-Anaesthetist Fee$59.61
Effective: April 1, 2026
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