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Y836

Y836Y836

OHIP Other Code · Schedule of Benefits

When to Use

  • Use Y836 as a mandatory diagnostic code when billing for the administration of the COVID-19 vaccine to indicate the immunization service.
  • Apply this code in conjunction with the appropriate G-code (such as G590) to ensure the claim is correctly identified as a COVID-19 vaccination encounter.

Common Pitfalls

  • Failing to include Y836 as the diagnostic code will result in a rejection for claims submitted under the COVID-19 immunization fee schedule.
  • Using Y836 as a standalone code without an associated service fee code will lead to a zero-dollar payment and an incomplete claim record.

Billing Tips

  • Ensure Y836 is linked specifically to the COVID-19 vaccine administration fee code to satisfy Ministry of Health reporting requirements for pandemic immunization tracking.
Provider Fee$0.00
Surgical Assistant Fee$38.65
Non-Anaesthetist Fee$59.61

Effective: April 1, 2026

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