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H153 – 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 is an assessment rendered by an Emergency Department Physician working in a hospital emergency department or Hospital Urgent Care Clinic for an unscheduled patient. The service requires a history of the presenting complaint and examination of multiple body parts or systems as needed to make a diagnosis, exclude disease, and/or assess function. The “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. This service is specifically for care provided on Friday evenings (17:00h to 24:00h) and on Saturdays, Sundays and Holidays between 08:00h and 24:00h.
All insured services must be documented in appropriate records that establish that the service was provided, is the service submitted for payment, and was medically necessary, as per .

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.

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