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H114

H114Premium - evenings (17:00h to 24:00h) on Mondays to Thursdays

OHIP Obstetrics Code · Schedule of Benefits

A premium payable to an Emergency Department Physician for services rendered during evening hours (17:00h to 24:00h) on Mondays to Thursdays, provided that no assessment code is claimed for the same patient visit.

When to Use

  • Use H114 when you perform a procedure (e.g., suturing or foreign body removal) during evening hours without billing an assessment code (H101-H154) for that same visit.
  • Apply H114 when providing a diagnostic service like H100 during the 17:00-24:00 window on a weekday, provided no assessment code is claimed.

Common Pitfalls

  • Billing H114 alongside an assessment code (H101-H154) will result in an automatic rejection, as those assessment codes already contain built-in premiums.
  • Using H114 on a statutory holiday instead of the correct H113 code will lead to payment discrepancies or audit flags.
  • Claiming H114 when the service provided does not meet the definition of a billable procedure or diagnostic service under the Schedule of Benefits.

Billing Tips

  • Always verify the day of the week and time; if the service falls on a Friday evening, you must use H113 instead of H114.
  • H114 can be stacked with procedural premiums like E412, provided you have not claimed an assessment code for the same patient encounter.
Provider Fee$23.65

Effective: April 1, 2026

Service Type

Emergency Department

Code Classes

Premium

Payable only when 'any other service' (e.g., a procedure or diagnostic test like H100) is rendered by the Emergency Department Physician during the specified premium hours.

The physician must be 'on duty' in the emergency department as defined in .

H114 is intended for situations where a procedure or other non-assessment service is the primary or only service provided during evening hours.

Ultrasound services (except H100 and J149) are generally not eligible for payment when rendered by an Emergency Department Physician.

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