HCAI Glossary for Ontario Physical Therapists
By: Joshua Meaker, BSc, MScPT Candidate; Nataliya Zlotnikov MSc, HBsc ∙ Estimated reading time: 4 minutes
By: Joshua Meaker, BSc, MScPT Candidate; Nataliya Zlotnikov MSc, HBsc ∙ Estimated reading time: 4 minutes
Is this resource for me?
Do you see, or are considering seeing, motor vehicle accident (MVA) patients in Ontario? Health Claims for Auto Insurance (HCAI) codes can truly be confusing. Simplify your MVA billing with our free, downloadable HCAI codes list, curated for Ontario physiotherapists!
Included in our free, downloadable resource are:
- HCAI Intervention Codes Shortlist Physiotherapists (common examples listed below);
- HCAI Injury Codes Shortlist for Physiotherapists (common examples listed in below);
- HCAI GAP Codes Shortlist;
- HCAI MIG Codes for Billing Shortlist; and
- HCAI Provider Codes & Info About Unit Measures Shortlists
Get my free HCAI
codes package now!
Keep reading below to learn more about HCAI and Embodia’s HCAI integration and view a few examples of common HCAI intervention and injury codes for physiotherapists.
What is HCAI?
For those of you new to the world of motor vehicle collision billing, Health Claims for Auto Insurance (HCAI) provides a platform for Ontario healthcare providers to submit Treatment and Assessment Plans (OCF 18s), Treatment Confirmation Forms (OCF 23s), and their associated invoices to auto insurers (HCAI, 2024).
Should I use HCAI?
If you are an Ontario healthcare business that directly submits OCF-18s, OCF-21s, and OCF-23s, to insurers in Ontario, the answer is, yes.
Embodia’s HCAI integration
Embodia is proud to offer an HCAI integration to our Tier 3: Practice Management System users at no additional cost! This HCAI integration results in significant time savings and offers in-depth reporting and easy tracking to simplify your HCAI billing process.
Learn more about HCAI on Embodia here
Or check out Embodia's short HCAI video below:
Meet with us to learn more!
HCAI made easy!
Under your HCAI settings on Embodia, select which injury codes and intervention codes you would like to allow when filling out HCAI plans and invoices. 
Use the curated code list in the downloadable glossary to make this process even easier!
Get my free HCAI
codes package now!
Examples of HCAI codes
A few examples of common HCAI intervention codes for physiotherapists:
|
Code |
Name |
Coding system |
Category |
|
GXX18 |
Hot/cold gel pack |
gap |
Therapeutic: Physical/Physiological |
|
GXX21 |
Lumbar support, high |
gap |
Therapeutic: Physical/Physiological |
|
GXX22 |
Lumbar support, low |
gap |
Therapeutic: Physical/Physiological |
|
MIG00 |
Initial visit (1 session) |
gap |
Therapeutic: Physical/Physiological |
|
MIG01 |
Block 1 (weeks 1 to 4) |
gap |
Therapeutic: Physical/Physiological |
|
MIG02 |
Block 2 (weeks 5 to 8) |
gap |
Therapeutic: Physical/Physiological |
|
MIG03 |
Block 3 (weeks 9 to 12) |
gap |
Therapeutic: Physical/Physiological |
|
MIGSG |
Supplementary goods and services |
gap |
Diagnostic imaging |
|
SZZPR |
Physical rehabilitation |
gap |
Therapeutic: Physical/Physiological |
A few examples of common HCAI injury codes for physiotherapists:
|
Code |
Description |
Area |
|
G43 |
Migraine |
Disease of the nervous system |
|
G44 |
Other headache syndromes |
Disease of the nervous system |
|
G442 |
Tension-type headache |
Disease of the nervous system |
|
M255 |
Pain in joint |
Diseases of the Musculoskeletal System |
|
M624 |
Contracture of muscle |
Diseases of the Musculoskeletal System |
|
M626 |
Muscle strain |
Diseases of the Musculoskeletal System |
|
R51 |
Headache |
Symptoms, Signs and Abnormal Findings |
|
S060 |
Concussion |
Injury, poisoning and other consequences of external causes (single) |
|
S134 |
Sprain and strain of cervical spine |
Injury, poisoning and other consequences of external causes (single) |
|
S1340 |
Whiplash associated disorder [WAD1] with complaint of neck pain, stiffness or tenderness only |
Injury, poisoning and other consequences of external causes (single) |
|
S1341 |
Whiplash associated disorder [WAD2] with |
Injury, poisoning and other consequences of external causes (single) |
|
S1342 |
Whiplash associated disorder [WAD3] with |
Injury, poisoning and other consequences of external causes (single) |
|
S233 |
Sprain and strain of thoracic spine |
Injury, poisoning and other consequences of external causes (single) |
|
S234 |
Sprain and strain of ribs and sternum |
Injury, poisoning and other consequences of external causes (single) |
|
S335 |
Sprain and strain of lumbar spine |
Injury, poisoning and other consequences of external causes (single) |
|
S336 |
Sprain and strain of sacroiliac joint |
Injury, poisoning and other consequences of external causes (single) |
|
S4338 |
Dislocation of other parts of shoulder girdle |
Injury, poisoning and other consequences of external causes (single) |
|
S434 |
Sprain and strain of shoulder joint |
Injury, poisoning and other consequences of external causes (single) |
|
S435 |
Sprain and strain of acromioclavicular joint |
Injury, poisoning and other consequences of external causes (single) |
|
S83 |
Dislocation, sprain and strain of joints and ligaments of knee |
Injury, poisoning and other consequences of external causes (single) |
|
S867 |
Injury of multiple muscles and tendons (groups) at lower leg level |
Injury, poisoning and other consequences of external causes (single) |
|
S868 |
Injury of other muscles and tendons at lower leg |
Injury, poisoning and other consequences of external causes (single) |
Get my free HCAI
codes package now!
Here are some additional resources and links to check out:
Blog: Embodia's HCAI Integration: Benefits & How to Get Started
Blog: Embodia’s HCAI Integration Helps Psychologists Provide the Care their MVA Patients Need
Embodia's Guides: Introduction to HCAI on Embodia
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Date published: 10 Dec 2024
Last update: 10 Dec 2024