What is OHIP billing code H101?

H101 is "Minor assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does H101 pay?

The current OHIP fee for H101 is $22.65, effective 2026-04-01, per the Ontario Schedule of Benefits.

What time of day is H101 billed?

H101 is billed for weekday daytime (Mon–Fri 08:00–17:00, Toronto time). At other times bill H131 for weekday evening; H121 for night; H151 for weekend, holiday or friday evening.

How do I bill H101 to OHIP?

H101 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates H101 claims against the Schedule of Benefits rules before submission.

What codes are related to H101?

Codes related to H101 in the Schedule of Benefits include H102, H103, H104, H131, H132, H133, H134, H151.

All codes

H101

H101 – Minor assessment

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

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Billed by time of day

Emergency Department Physician assessments, by level and when the patient is seen. Toronto time.

Pick a date and time to see which code applies.

DateStart time (ET)

Emergency department assessments by time period and level
When	Minor	Comprehensive	Multiple systems	Re-assessment
Weekday daytimeMon–Fri 08:00–17:00	H101$22.65	H102$56.70	H103$46.65	H104$22.75
Weekday eveningMon–Thu 17:00–24:00	H131$30.05	H132$75.40	H133$61.50	H134$30.05
NightEvery day 00:00–08:00	H121$39.85	H122$99.60	H123$80.95	H124$39.80
Weekend, holiday or Friday eveningSat, Sun & holidays 08:00–24:00 · Fri 17:00–24:00	H151$34.15	H152$85.70	H153$69.60	H154$34.15

Dec 25–31 bill as holidays in the emergency department.

H101 is a minor assessment rendered by an Emergency Department Physician. As defined in , a minor assessment includes one or both of the following: a. a brief history and examination of the affected part or region or related to a mental or emotional disorder; or b. brief advice or information regarding health maintenance, diagnosis, treatment and/or prognosis. This service applies to unscheduled patients in a hospital emergency department or a Hospital Urgent Care Clinic, as described in . It is specifically for services rendered on Monday to Friday, during daytime hours from 08:00h to 17:00h.

All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

H102 H103 H104 H131 H132 H133 H134 H151 H152 H153 H154 H121 H122 H123 H124 H065 H105 H100 H112 H113 J149 H114

H105 is payable in addition to the initial consultation or assessment rendered in the emergency department or Hospital Urgent Care Clinic provided that each service is rendered separately by the Emergency Department Physician.

H105 is an insured service payable at nil if the hospital admission assessment is payable to the Emergency Department Physician.

With the exception of ultrasound guidance, (J149) or emergency department investigative ultrasound (H100), ultrasound services listed in this Schedule rendered by an Emergency Department Physician are not eligible for payment.

When any other service is rendered by the Emergency Department Physician in premium hours (and assessments may not be claimed), apply one of the following premiums per patient visit. - H112: nights (00:00h to 08:00h) - H113: daytime and evenings (08:00h to 24:00h) on Saturdays, Sundays or Holidays

- H114: - evenings (17:00h to 24:00h) on Mondays to Thursdays

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