All codes
Y872
Y872 – Y872
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y872 as a tracking code to record the administration of a publicly funded vaccine when no other fee-for-service code is applicable.
- Apply this code when documenting the provision of a specific preventative service or immunization program that is mandated by the Ministry but carries a zero-dollar professional fee.
Common Pitfalls
- Billing Y872 in conjunction with a full office visit code (A007) when the visit is exclusively for the administration of the vaccine, which may trigger an audit for unbundling.
- Attempting to claim Y872 for private-pay vaccines or non-insured services, which is inappropriate as this code is reserved for specific public health initiatives.
Billing Tips
- Ensure the specific vaccine product code is also recorded in the patient chart to substantiate the use of Y872 during Ministry reviews.
Provider Fee$0.00
Surgical Assistant Fee$279.40
Non-Anaesthetist Fee$73.52
Effective: April 1, 2026
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