Remittance Advice · Payment-time (remittance)
OHIP explanatory code V9
Only one initial office visit allowed within a twelve-month period
What V9 means
The Ministry of Health’s official wording for V9 is: “Only one initial office visit allowed within a twelve-month period.”
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 V9
The fee was reduced or capped under this rule. If you believe the full amount was payable, file a Remittance Advice Inquiry with supporting detail.
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
- V5Only one major oculo-visual examination allowed in a 12-month period for under 19 or over 65 with medical condition; 1 in 18 month period for over 65 withouut medical condition
- V6Allowed as minor assessment-initial assessment already claimed
- V7Allowed at medical/specific re-assessment fee
- V8This service paid at lower fee as per stated OHIP policy
- VAProcedure fee reduced-consultation/visit fees not allowed in addition
- VBAdditional Oculo-Visual Assessment (OVA) is allowed once within the second year for patients aged 20-64, following a periodic OVA
- VCProcedure Paid Previously Not Allowed In Addition To Visit Fee. Fee Adjusted To Pay The Difference
- VGOnly one geriatric general assessment premium per patient per 12- month period
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Code meaning per Ontario Ministry of Health — Remittance Advice Explanatory Codes / Messages (March 2026). The suggested action is general information for Ontario physicians, not billing, legal, or tax advice — codes and rules change, so verify against the current Ministry of Health documents before relying on a claim.