All codes
Y849
Y849 – Y849
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y849 as a mandatory administrative placeholder when submitting a claim for a service that has a zero-dollar fee but requires a record of the encounter in the OHIP system.
- Apply this code when documenting specific non-insured services or administrative procedures that necessitate a formal billing submission to satisfy provincial reporting requirements.
Common Pitfalls
- Do not attempt to append diagnostic codes or modifiers to Y849, as it is a non-payable administrative code that will trigger rejections if submitted with complex billing strings.
- Avoid using Y849 as a substitute for billable visit codes like A007 or A001; it carries no monetary value and will result in zero reimbursement for the clinical encounter.
Billing Tips
- Ensure Y849 is only used when your specific billing software or regional health authority mandates a zero-fee submission to close out an encounter record.
Provider Fee$0.00
Surgical Assistant Fee$172.20
Non-Anaesthetist Fee$40.11
Effective: April 1, 2026
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