All codes
Y869
Y869 – Y869
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y869 as a mandatory administrative 'no-charge' code when submitting claims for specific services that require a tracking indicator but carry no direct fee, such as certain diagnostic requisitions or specific provincial program reporting.
- Apply Y869 when instructed by the Schedule of Benefits to link a zero-dollar service to a primary procedure or to satisfy system requirements for specific ministry-funded initiatives.
Common Pitfalls
- Billing Y869 in isolation without an associated paid service code often leads to automated rejections or flags for manual review by the ministry.
- Confusing Y869 with other administrative codes can lead to submission errors; ensure it is not used as a substitute for a billable visit code like A007 or A001.
Billing Tips
- Always verify the current Schedule of Benefits or your specific program manual to confirm that Y869 is the required tracking code for your specific service, as these requirements change periodically.
Provider Fee$0.00
Surgical Assistant Fee$644.95
Non-Anaesthetist Fee$73.52
Effective: April 1, 2026
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