All codes
Y826
Y826 – Y826
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y826 as the mandatory administrative fee code when submitting a claim for a non-insured service that is being billed directly to a third party or patient.
- Apply this code when documenting the completion of a form or service where the physician has set a private fee, ensuring the claim is linked to the specific non-insured service rendered.
Common Pitfalls
- Do not attempt to bill Y826 to OHIP for payment, as it is a zero-dollar administrative marker intended for tracking purposes only.
- Avoid using Y826 in conjunction with insured service codes like A007, as the Ministry will reject the claim for attempting to mix private and insured billing on the same encounter.
Billing Tips
- Ensure your billing software is configured to flag Y826 as a 'private' or 'non-insured' claim type to prevent it from being erroneously transmitted to the Ministry of Health.
Provider Fee$0.00
Surgical Assistant Fee$71.90
Non-Anaesthetist Fee$14.69
Effective: April 1, 2026
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