All codes
Y864
Y864 – Y864
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y864 as a mandatory administrative placeholder when submitting a claim for a service that has a $0.00 fee, such as certain specific diagnostic reporting requirements.
- Apply this code when the Schedule of Benefits requires a submission for tracking purposes despite no monetary remuneration being attached to the specific service rendered.
Common Pitfalls
- Billing Y864 in combination with a fee-for-service code that already includes the administrative work in its global fee, leading to a rejection for duplicate billing.
- Attempting to use Y864 as a standalone claim without the required supporting diagnostic or procedural codes, which will result in an automatic rejection due to lack of service context.
Billing Tips
- Always verify the current Schedule of Benefits to ensure Y864 is the required tracking code for your specific specialty, as administrative codes are frequently updated or replaced.
Provider Fee$0.00
Surgical Assistant Fee$113.10
Non-Anaesthetist Fee$63.57
Effective: April 1, 2026
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