Remittance Advice · Payment-time (remittance)
OHIP explanatory code VM
Oculo-visual minor assessment is only allowed within eligibility period after a major oculo-visual examination
What VM means
The Ministry of Health’s official wording for VM is: “Oculo-visual minor assessment is only allowed within eligibility period after a major oculo-visual examination.”
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 VM
A minor oculo-visual assessment is only payable within the eligibility period after a major oculo-visual examination - check the date of the patient's last major exam; if the assessment fell within the window, file a Remittance Advice Inquiry with that 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
- 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
- VNAllowed as major oculo-visual examination for seniors with medical conditions
- VPAllowed with special visit only
- VRVisit reduced premium not applicable
- VSDate of service was a Saturday, Sunday or statutory holiday
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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.