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Y878

Y878Y878

OHIP Other Code · Schedule of Benefits

When to Use

  • Use Y878 as a mandatory administrative placeholder when submitting a claim for a service that has a zero-dollar fee but requires a record of the encounter in the OHIP system.
  • Apply this code when documenting specific non-insured or informational services that must be linked to a patient's health card number for tracking purposes within the Ministry database.

Common Pitfalls

  • Do not attempt to bill Y878 in conjunction with a standard office visit code like A007, as the Ministry may flag the encounter as a duplicate or invalid submission.
  • Avoid using Y878 as a substitute for billable diagnostic or procedural codes, as it carries no monetary value and will result in zero reimbursement for the physician.

Billing Tips

  • Ensure that the diagnostic code associated with the Y878 submission is accurate, as the Ministry uses this data for statistical reporting even when the fee is zero.
Provider Fee$0.00
Surgical Assistant Fee$166.30
Non-Anaesthetist Fee$59.61

Effective: April 1, 2026

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