What is OHIP billing code H152?

H152 is "Comprehensive assessment and care", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does H152 pay?

The current OHIP fee for H152 is $85.70, effective 2026-04-01, per the Ontario Schedule of Benefits.

What time of day is H152 billed?

H152 is billed for weekend, holiday or friday evening (Sat, Sun & holidays 08:00–24:00 · Fri 17:00–24:00, Toronto time). At other times bill H102 for weekday daytime; H132 for weekday evening; H122 for night.

How do I bill H152 to OHIP?

H152 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates H152 claims against the Schedule of Benefits rules before submission.

What codes are related to H152?

Codes related to H152 in the Schedule of Benefits include H065, H105, H102, H103, H101, H104, H132, H133.

All codes

H152

H152 – Comprehensive assessment and care

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

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Billed by time of day

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

Pick a date and time to see which code applies.

DateStart time (ET)

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

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

This service is a comprehensive assessment and care provided by an Emergency Department Physician. According to , an Emergency Department Physician is a physician working in a hospital emergency department or Hospital Urgent Care Clinic specifically for rendering services to unscheduled patients. These 'H' prefix services apply when a physician is working a pre-arranged shift or is on-call and the service does not qualify for a special visit premium. This specific code, H152, applies when the service is rendered on Friday evenings (17:00h to 24:00h) or on Saturdays, Sundays and Holidays during daytime and evenings, from 08:00h to 24:00h. An age-based premium is applicable for patients aged 65 and older as per .

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. (Source: :)

H065 H105 H102 H103 H101 H104 H132 H133 H131 H134 H153 H151 H154 H122 H123 H121 H124 H100 H112 H113

Note 1: H105 is payable in addition to the initial consultation or assessment rendered in the emergency department or Hospital Urgent Care Clinic provided that each service is rendered separately by the Emergency Department Physician.

Note 2: H105 is an insured service payable at nil if the hospital admission assessment is payable to the Emergency Department Physician.

Note 3: 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.

Note 4: 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) - 35.15. - H113: daytime and evenings (08:00h to 24:00h) on Saturdays, Sundays or Holidays - 20.35.

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