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Error code

ADM — Emergency equivalent/other visits

A888 rules broken

The claim breaks the rules for A888, the emergency department equivalent visit, which is the only fee code payable for that service.

What to do: Remove codes not payable with A888, or bill the right visit code if A888 doesn't apply.

Code
ADM
Description
Emergency equivalent/other visits

Explanation

Updated October 26, 2026

The claim breaks the rules for emergency department equivalent (A888) visits. Check what can be billed with or instead of A888.

What it means

ADM relates to emergency department equivalent visits and other visits. An emergency department equivalent is an office, urgent care, walk-in or extended-hours clinic where only patients without pre-arranged appointments are seen (General Preamble GP3).

A888 is the partial assessment for an emergency seen in such a setting on a Saturday, Sunday or holiday. The Schedule says A888 is the only fee code payable for that service, no premiums are payable with it, and hypnotherapy or counselling by the same physician the same day isn't payable (A5). On the Remittance Advice, DM refers to the same Ministry policy.

Common causes

  • A888 billed with another visit or a premium
  • Hypnotherapy or counselling billed the same day as A888
  • A888 billed on a day that isn't a Saturday, Sunday or holiday

How to fix it

  1. Check the A888 rules on page A5 and the holiday definition on GP3.
  2. Remove codes that aren't payable with A888, or bill the visit with the right code if A888 doesn't apply.
  3. Resubmit the corrected claim. Resubmit within three months of the service date if you can. If that window has passed but the claim was first submitted on time, use the Ministry's stale-dated resubmission process described under VJ7.

Don't resubmit if

  • The claim still pairs A888 with codes it can't be billed with.

How APEX handles it

APEX reads your error reports and remittance advice from MCEDT and lists claims rejected with this code in its Correction Centre for you to correct and resubmit. See how APEX works · Pricing

Related codes: DM, A3F

Sources