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Billing code

E082A — Admission assessment by the MRP, to admission assessment add

Admission assessment premium

Adds 30% to the hospital admission assessment when the admitting physician is the most responsible physician; once per admission.

Watch for: Not payable for transfers within the same hospital, or admissions for delivery, a well newborn or day surgery.

Code

E082A

Description

Admission assessment by the MRP, to admission assessment add

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Jul 1, 2013

Termination date

No end date

Explanation

Updated October 26, 2026

30% premium on the hospital admission assessment when the admitting physician is the most responsible physician (MRP). Once per admission.

What it covers

E082 adds 30% to the admission assessment done by the most responsible physician (GP42).

An admission assessment is the initial assessment for admitting the patient. Depending on prior contact and specialty, it is a consultation, general or specific assessment, or re-assessment (GP40). For family physicians this includes A933/C933, C003 and C004 (GP41).

Billing rules

• Once per patient per hospital admission (GP42).
• Payable only when the admitting physician is the MRP. If the MRP doesn't do the admission assessment, no physician can bill E082 for that admission (GP42).
• Not payable for transfers within the same hospital (GP42).
• Not payable for admissions for obstetrical delivery, a well newborn, or day surgery (GP42).
• Not payable if you're paid by the hospital or a hospital foundation for in-patient clinical services, unless that pay has been reduced by the E082 amount (GP42).
• Applies only to the admission assessment, not to any other service or premium (GP42).
• E082 counts toward the hospitalist premium's qualifying services, but the 17% hospitalist premium isn't paid on E082 itself (GP103).

Often billed with

• C003, C004 or C933 admission assessment by a family physician (GP41).
• E083 (+30%) or E084 (+45%, Saturday, Sunday or holiday) on the MRP's later subsequent visits (GP47).
• C122 and C123 MRP visits on the first and second days after admission, one each per admission (GP44).

Common rejections

• VH9: OHIP can't find the health number in its registration records; compare it digit by digit with the card (VH9 guide).
• V18: The admission or first-visit date on the claim was missing or invalid; check the admission date entered for this in-patient stay.
• EH2: The health card version code doesn't match OHIP's record; get the current version code and resubmit (EH2 guide).
• A36: The service was already claimed by another practitioner; E082 is payable once per admission, to the MRP only (GP42).

Related codes: E083, E084, C003, C004, C933, C122, C123

Source: Schedule of Benefits (July 1, 2026), General Preamble, Hospital and Institutional Consultations and Assessments, pages GP40–GP42.

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