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Y825

Y825Y825

OHIP Other Code · Schedule of Benefits

When to Use

  • Use Y825 as a mandatory administrative 'no-charge' code when submitting a claim for a service that is being billed as a 'shadow bill' or research-related encounter where no payment is expected from OHIP.
  • Apply this code when submitting data for specific provincial programs or pilot projects that require encounter tracking without triggering a fee-for-service payment.

Common Pitfalls

  • Attempting to use Y825 as a placeholder for a billable service will result in a $0 payment; always ensure a billable fee code is used if you intend to be compensated.
  • Submitting Y825 in conjunction with other billable codes on the same claim can lead to rejection or audit flags if the Ministry deems the encounter ineligible for payment.

Billing Tips

  • Verify the specific program requirements or Ministry bulletins, as Y825 is strictly for non-remunerative reporting and does not count toward your daily service volume for premium eligibility.
Provider Fee$0.00
Surgical Assistant Fee$95.70
Non-Anaesthetist Fee$14.43

Effective: April 1, 2026

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