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H123 – Multiple systems 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 multiple systems assessment rendered for an unscheduled patient in an emergency department or Hospital Urgent Care Clinic. This service is specifically for visits that occur during night hours, from 00:00h to 08:00h. This service must be rendered by an Emergency Department Physician, defined as a physician: a. working in a hospital emergency department specifically for the purpose of rendering services to unscheduled patients who attend the emergency department to receive physician services; or b. working in a Hospital Urgent Care Clinic specifically for the purpose of rendering services to unscheduled patients who attend the Hospital Urgent Care Clinic to receive physician services. These 'H' prefix listings apply when a full- or part-time Emergency Department Physician is working for a pre-arranged designated period of time or shift, or for services rendered by an on-call physician where the service does not qualify for claiming a special visit premium (see ).
All insured services must be documented in appropriate records to 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.

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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