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H131 – 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 (EDP) for an unscheduled patient. A minor assessment, as defined on page , includes one or both of the following: • a brief history and examination of the affected part or region or related to a mental or emotional disorder; or • brief advice or information regarding health maintenance, diagnosis, treatment and/or prognosis. The 'H' prefix codes are used by physicians working a designated shift in an emergency department or Hospital Urgent Care Clinic, or for services by an on-call physician where a special visit premium is not applicable, as detailed on page . This specific code applies to services rendered Monday to Thursday, between 17:00h and 24:00h, as listed on page .

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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