All codes
Y857
Y857 – Y857
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y857 as a tracking code when submitting claims for the Ontario Health Quality Improvement Plan (QIP) reporting requirements.
- Apply this code to patient encounters that contribute to specific quality improvement indicators as defined by your local health authority or hospital department.
Common Pitfalls
- Do not bill Y857 as a standalone fee-for-service item, as it carries a $0.00 value and is intended strictly for administrative data tracking.
- Avoid using Y857 in place of diagnostic or procedural codes, as it does not satisfy the requirement for clinical service documentation.
Billing Tips
- Ensure Y857 is appended to the primary service code in the same claim submission to link the clinical activity to the quality improvement data set.
Provider Fee$0.00
Surgical Assistant Fee$139.65
Non-Anaesthetist Fee$67.67
Effective: April 1, 2026
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