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H121 – Minor assessment

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

Billed by time of day

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

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

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

A minor assessment rendered by an Emergency Department Physician to an unscheduled patient in an Emergency Department or Hospital Urgent Care Clinic. This service is specifically for care provided during night hours, from 00:00h to 08:00h. According to the definition in , a minor assessment includes one or both of: • a brief history and examination of the affected part or region or related to a mental or emotional disorder; • brief advice or information regarding health maintenance, diagnosis, treatment and/or prognosis. This service is intended for physicians working a designated shift or on-call for the emergency department where the service does not qualify for a special visit premium, as described in . All assessments include the specific elements of assessments () and common elements of insured services (, ).

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 and Friday Evenings (17:00h to 24:00h); H114: - evenings (17:00h to 24:00h) on Mondays to Thursdays.

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