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Y876

Y876Y876

OHIP Other Code · Schedule of Benefits

When to Use

  • Use Y876 as the mandatory administrative code when submitting a claim for a K030 (Telephone Consultation) to indicate the service was provided via telephone.
  • Apply Y876 when billing for virtual care services that specifically require an indicator for telephone-based delivery to satisfy MOH billing requirements.

Common Pitfalls

  • Billing Y876 without a corresponding consultation or assessment code will result in a rejection, as it is a non-fee-bearing administrative indicator.
  • Confusing Y876 with video-based indicators; ensure you only use Y876 for audio-only telephone encounters, not for virtual visits conducted via secure video platforms.

Billing Tips

  • Always append Y876 to the same claim record as the K030 service code to ensure the encounter is correctly categorized as a telephone service by the Ministry.
Provider Fee$0.00
Surgical Assistant Fee$65.85
Non-Anaesthetist Fee$59.61

Effective: April 1, 2026

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