All codes
Y827
Y827 – Y827
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y827 as a tracking code to indicate that a patient has been successfully enrolled in a formal Chronic Disease Management program.
- Apply this code when documenting the completion of a specific patient education session or care plan initiation that does not carry a direct fee but requires administrative tracking.
Common Pitfalls
- Billing Y827 in conjunction with a consultation code like A007 or A008 will trigger a rejection if the system interprets the encounter as a duplicate service.
- Failing to link Y827 to the appropriate diagnostic code for the chronic condition being managed often leads to audit flags regarding the necessity of the tracking entry.
Billing Tips
- Ensure Y827 is submitted with a $0.00 fee; attempting to attach a dollar value will result in an immediate claim rejection.
- Use Y827 as a 'shadow' code to satisfy reporting requirements for primary care incentive programs without interfering with the billing of standard office visit codes.
Provider Fee$0.00
Surgical Assistant Fee$138.05
Non-Anaesthetist Fee$59.61
Effective: April 1, 2026
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