What is OHIP billing code E400?

E400 is "After Hours Premium - Evenings, Weekends, and Holidays (50%)", an OHIP Procedural Add-ons & Premiums code from the Ontario Schedule of Benefits (Physician Services).

What time of day is E400 billed?

E400 is billed for weekday evening (Mon–Fri 17:00–24:00, Toronto time). At other times bill E401 for night; E400 for weekend or holiday.

How do I bill E400 to OHIP?

E400 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E400 claims against the Schedule of Benefits rules before submission.

What codes are related to E400?

Codes related to E400 in the Schedule of Benefits include E401, E409, E412.

All codes

E400

E400 – After Hours Premium - Evenings, Weekends, and Holidays (50%)

OHIP Procedural Add-ons & Premiums Code · Schedule of Benefits

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Billed by time of day

After-hours premium for surgical assistants and anaesthesiologists. By when the case starts. Billed with the B (assistant) or C (anaesthesia) suffix.. Toronto time.

Pick a date and time to see which code applies.

DateStart time (ET)

After-hours premium for surgical assistants and anaesthesiologists by time period
Weekday daytimeMon–Fri 07:00–17:00	No code
Weekday eveningMon–Fri 17:00–24:00	E400(this code)
NightEvery day 00:00–07:00	E401
Weekend or holidaySat, Sun & holidays 07:00–24:00	E400(this code)

A premium payable to surgical assistants (E400B) or anaesthesiologists (E400C) for cases commencing during evening hours (17:00h to 24:00h) on weekdays, or during daytime and evening hours on Saturdays, Sundays, or Holidays. The premium increases the total fee (basic units plus time units) by 50%.

The case must commence during the specified after-hours time periods.

For replacement services (E005B/C), start and stop times must be documented in the patient's permanent medical record.

Usage limits

Payable only when the case commences during the specified after-hours periods.

E401After Hours Premium - Nights (75%)E409Physician After Hours Premium - Evenings/Weekends/Holidays (50%)E412Emergency Department Physician After Hours Premium - Evenings/Weekends/Holidays (20%)

Holidays are defined as Family Day, Good Friday, Victoria Day, Canada Day, Civic Holiday, Labour Day, Thanksgiving, New Year’s Day, Christmas Day, and Boxing Day (with specific rules for weekends).

The premium applies to the total fee, which includes both basic and time units.

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