OHIP explanatory code DG

What DG means

The Ministry of Health’s official wording for DG is: “Diagnostic/Miscellaneous services for hospital patients are not payable on a fee-for-service basis in the Hospital Global budget..”

This code appears as an explanatory code on your monthly Remittance Advice (RA). It means the claim was adjudicated — paid, reduced, or refused — for the reason below. A claim already on your RA generally shouldn't be blindly resubmitted; follow the suggested action.

How to fix DG

Diagnostic/miscellaneous services for hospital patients are funded through the hospital's global budget, not fee-for-service - do not bill the patient. Seek remuneration through the hospital, or file a Remittance Advice Inquiry if this wasn't a hospital-patient service.

Payment-time codes appear on the monthly Remittance Advice after adjudication. Some are informational, some explain a reduced or refused payment. Where you disagree with the outcome, the usual route is a Remittance Advice Inquiry or written inquiry — not resubmitting the same claim, which can create a duplicate.

Related codes

• DCProcedure paid previously not allowed in addition to this procedure- fee adjusted to pay the difference
• DDNot allowed as diagnostic code is unrelated to original eye exam
• DELab tests already paid-visit fee adjusted
• DFCorresponding fee code was not billed or paid at zero
• DHVentilatory support allowed with Haemodialysis
• DLAllowed as laboratory tests in private office
• DMPaid/disallowed in accordance with MOH policy regarding an Emergency Department Equivalent
• DNAllowed as pudenal block in addition to procedure-as per stated OHIP policy