All codes
Y885
Y885 – Y885
OHIP Other Code · Schedule of Benefits
When to Use
- Use Y885 as the mandatory administrative tracking code when submitting a claim for a non-insured service or a service where the fee is collected directly from the patient rather than OHIP.
- Apply this code in conjunction with the appropriate diagnostic or procedure code when documenting an encounter that is not covered under the Schedule of Benefits, such as a cosmetic procedure or a third-party medical-legal report.
Common Pitfalls
- Do not attempt to bill Y885 as a standalone service; it must be submitted alongside a valid service code to provide context for the encounter.
- Avoid using Y885 for insured services; submitting it with a standard A-code will result in a rejection because it is intended solely for non-OHIP billable activities.
Billing Tips
- Ensure the claim is submitted with a zero-dollar amount for Y885, as it serves as a statistical marker for the Ministry rather than a billable fee item.
Provider Fee$0.00
Surgical Assistant Fee$357.90
Non-Anaesthetist Fee$67.67
Effective: April 1, 2026
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