All codes
Y851
Y851 – Y851
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y851 as the mandatory tracking code when billing the K035 or K036 chronic disease management incentive fees for patients with diabetes.
- Include Y851 on the same claim submission as the K035/K036 service code to satisfy the Ministry's requirement for tracking diabetes management services.
Common Pitfalls
- Submitting K035 or K036 without the Y851 tracking code will result in an automatic rejection of the incentive fee.
- Using Y851 as a standalone service code is incorrect as it carries a zero-dollar value and is strictly for administrative reporting purposes.
Billing Tips
- Ensure your EMR is configured to automatically append Y851 to the claim whenever K035 or K036 is selected to prevent missed tracking requirements.
Provider Fee$0.00
Surgical Assistant Fee$98.50
Non-Anaesthetist Fee$59.61
Effective: April 1, 2026
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