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Y881

Y881Y881

OHIP Other Code · Schedule of Benefits

When to Use

  • Use Y881 as a tracking code when submitting a claim for a primary service that requires an associated diagnostic or laboratory test to be processed by a third-party facility.
  • Apply this code when you are billing for a service that is technically 'not insured' under the Schedule of Benefits but must be recorded in the OHIP system for administrative or provincial reporting purposes.

Common Pitfalls

  • Do not bill Y881 as a standalone service, as it carries a $0.00 fee and will be rejected if submitted without a valid primary fee code.
  • Avoid using Y881 as a substitute for A007 or other assessment codes; it is a tracking indicator, not a substitute for a clinical encounter.

Billing Tips

  • Ensure Y881 is appended to the claim in the same submission batch as the primary service to prevent reconciliation errors.
Provider Fee$0.00
Surgical Assistant Fee$132.00
Non-Anaesthetist Fee$73.52

Effective: April 1, 2026

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