OHIP error code V20

What V20 means

The Ministry of Health’s official wording for V20 is: “Unacceptable Age for Diagnostic code - Service code is A007, patient is over 2 years old and diagnostic code is '916' or service code is A003 and the patient is under 16 years old and the diagnostic code is '917'.”

This code appears on your Claims Error Report (downloaded through MCEDT). It means the claim was rejected at submission and was never adjudicated for payment — fix the issue below and resubmit the claim.

How to fix V20

The diagnostic code doesn't fit the patient's age for this service (A007 vs A003, dx 916 vs 917) - use the age-appropriate diagnostic code and resubmit.

These codes relate to the fee schedule code, diagnosis code, fee amount, or service limits in the Schedule of Benefits. The fix usually starts with re-reading the code's payment rules — effective dates, age/sex limits, maximums, and combinations — for the date of service.

Related codes

• V13Patient's date of birth is missing/invalid format Month not in the range of 01-12 Not 8 numerics Day is outside acceptable range for month
• V16Unacceptable Diagnostic Code Not numeric
• V17Payee must be 'P' (Provider) or 'S' (Patient)
• V18Invalid Admission/First Visit date
• V21Diagnostic Code Required
• V22Invalid Diagnostic Code
• V23Check Number Of Services
• V28Invalid Hospital Number