All codes
Y843
Y843 – Y843
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y843 as a mandatory administrative tracking code when billing for the administration of the COVID-19 vaccine in a primary care setting.
- Apply this code in conjunction with the appropriate vaccine injection fee (such as G538) to satisfy Ministry reporting requirements for immunization encounters.
Common Pitfalls
- Submitting Y843 as a standalone service code will result in a rejection because it carries a $0.00 fee and requires an associated billable service.
- Failure to include Y843 when billing for COVID-19 vaccine administration will lead to claim audits or payment reconciliation issues regarding provincial immunization tracking.
Billing Tips
- Always append Y843 to the same claim submission as your injection fee code to ensure the encounter is correctly captured in the provincial immunization database.
Provider Fee$0.00
Surgical Assistant Fee$55.90
Non-Anaesthetist Fee$17.55
Effective: April 1, 2026
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