All codes
Y875
Y875 – Y875
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y875 as the mandatory administrative code to report the completion of a COVID-19 vaccination for patients aged 5 and older.
- Apply this code when submitting a claim for the professional service of administering the vaccine, typically in conjunction with the appropriate vaccine supply code.
Common Pitfalls
- Billing Y875 without an associated vaccine supply code (e.g., Y876 or Y877) will lead to an incomplete claim record for the immunization event.
- Attempting to bill Y875 alongside a standard office visit code like A007 is generally restricted unless the visit meets the criteria for a separate, medically necessary assessment unrelated to the vaccination.
Billing Tips
- Ensure the patient's OHIP number is valid at the time of service, as Y875 claims are subject to standard eligibility verification processes.
Provider Fee$0.00
Surgical Assistant Fee$293.90
Non-Anaesthetist Fee$45.83
Effective: April 1, 2026
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