OHIP Error Report code V20
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'
Ontario Ministry of Health, Error Report Rejection Conditions
Where you’ll see it
On your Error Report. The claim was rejected before OHIP assessed it. Error Reports arrive within about 48 hours of a submission.
The diagnostic code is the problem
The diagnostic code is missing, invalid, or not accepted with this fee code. Correct the diagnostic code and resubmit. The service code itself may be fine.
A rejected claim was never assessed, so the corrected claim goes back in as a new submission. The three-month limit still runs from the date of service, and a rejection doesn't reset it.
Our summary is a guide, not a ruling. The ministry’s wording and the current Schedule of Benefits are what OHIP applies. See OHIP Error Report vs Remittance Advice: reading the codes for how the two reports differ.