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H134 – Re-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 re-assessment rendered by an Emergency Department Physician to an unscheduled patient in a hospital emergency department or Hospital Urgent Care Clinic. According to the Schedule, 'H' prefix listings, such as H134, 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. This specific code is for services rendered on Monday to Thursday between 17:00h and 24:00h. A re-assessment typically includes a relevant history and physical examination of one or more systems.
In addition to the common elements, all assessments must include: • A direct physical encounter with the patient including taking a patient history and performing a physical examination. • Other inquiry (including taking a patient history), carried out to arrive at an opinion as to the nature of the patient's condition, (whether such inquiry takes place before, during or after the encounter during which the physical examination takes place) and/or follow-up care. • Performing any procedure(s) during the same encounter as the physical examination, unless the procedure(s) is(are) separately listed in the Schedule and an amount is payable for the procedure in conjunction with an assessment. • Making arrangements for any related assessments, procedures or therapy, and/or interpreting results. • Making arrangements for follow-up care. • Discussion with, and providing advice and information, including prescribing therapy to the patient or the patient's representative. • When medically indicated, monitoring the condition of the patient and intervening, until the next insured service is provided.

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