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Y871

Y871Y871

OHIP Other Code · Schedule of Benefits

When to Use

  • Use Y871 as a mandatory diagnostic code when billing for the administration of a COVID-19 vaccine to a patient in an office setting.
  • Apply this code in conjunction with the appropriate service fee code (such as G050) to specifically identify the nature of the immunization encounter for Ministry tracking.

Common Pitfalls

  • Failing to include Y871 when billing for COVID-19 vaccine administration will result in the rejection of the claim for missing diagnostic information.
  • Do not use Y871 for routine non-COVID immunizations, as it is specific to the COVID-19 vaccine program and will trigger an audit if used for other vaccines like influenza or Tdap.

Billing Tips

  • Ensure Y871 is linked to the service code in your billing software to prevent the claim from being submitted without the required diagnostic indicator.
Provider Fee$0.00
Surgical Assistant Fee$119.75
Non-Anaesthetist Fee$59.61

Effective: April 1, 2026

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