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Y873

Y873Y873

OHIP Other Code · Schedule of Benefits

When to Use

  • Use Y873 as a tracking code when submitting a claim for a primary service that requires a specific diagnostic or procedural modifier that does not have its own fee code.
  • Apply Y873 to indicate the completion of a specific administrative or clinical requirement mandated by the Ministry of Health for certain specialized programs.

Common Pitfalls

  • Billing Y873 as a standalone service will result in an automatic rejection because it carries a zero-dollar fee and is intended only as a secondary indicator.
  • Confusing Y873 with other administrative tracking codes can lead to audit flags if the associated primary service code does not align with the ministry's requirements for that specific tracking code.

Billing Tips

  • Always link Y873 to the primary fee code in the same claim submission to ensure the system correctly associates the tracking indicator with the billable service.
Provider Fee$0.00
Surgical Assistant Fee$159.90
Non-Anaesthetist Fee$21.13

Effective: April 1, 2026

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