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H113 – Premium - daytime and evenings (Saturdays, Sundays, Holidays, and Friday Evenings)

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

Billed by time of day

ED premium for non-assessment services. Added to a G or K code billed instead of an H assessment.. Toronto time.

Pick a date and time to see which code applies.

ED premium for non-assessment services by time period
Weekday daytimeMon–Fri 08:00–17:00No code
Weekday eveningMon–Thu 17:00–24:00
NightEvery day 00:00–08:00
Weekend, holiday or Friday eveningSat, Sun & holidays 08:00–24:00 · Fri 17:00–24:00
  • H113(this code)$32.20

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

The H113 premium is applied per patient visit when an Emergency Department Physician renders a service, other than an assessment, on a Saturday, Sunday, or Holiday between 08:00h and 24:00h or on Friday Evenings between 17:00h and 24:00h. Per page , an 'Emergency Department Physician' is a physician working in a hospital emergency department or a Hospital Urgent Care Clinic for the purpose of rendering services to unscheduled patients. This premium cannot be claimed in conjunction with any assessment codes (e.g., H101 to H154). It is payable with other services, such as procedures. Note that most ultrasound services rendered by an Emergency Department Physician are not eligible for payment, except for ultrasound guidance (J149) or emergency department investigative ultrasound (H100).

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.

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