Error code
VX — Complexity premium not applicable to visit fee
Complexity premium not payable
The complexity premium was claimed with a visit fee it can't be added to, so the premium was refused.
What to do: Check the premium's Schedule listing for the services it goes with; if the visit isn't one of them, nothing to fix.
- Code
- VX
- Description
- Complexity premium not applicable to visit fee
Explanation
Updated October 26, 2026
Code VX means a complexity premium was claimed with a visit fee it doesn't apply to, so the premium was refused.
What it means
Code VX means a complexity premium claimed on this claim is not payable with the visit fee it was billed with. Premiums in the Schedule are payable only with the services named in their listing.
The Ministry's description gives no more detail.
Common causes
- The premium was billed with a visit fee not named in its listing
How to fix it
- Check the premium's listing in the Schedule for the services it can be added to.
- If the visit isn't one of them, there is nothing to fix.
- If you believe the payment is wrong, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date, with supporting details.
Don't resubmit if
- You disagree with how a claim already on the RA was paid. Use an RAI, not a new claim.
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