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Billing code

H102A — ED comprehensive assessment and care – weekday daytime

ED comprehensive care, weekday day

Bill H102 for a comprehensive ED assessment with full history, full exam and treatment over many hours, weekdays 08:00 to 17:00.

Watch for: Special visit premiums aren't payable with ED H-codes; not payable fee-for-service in an ED under an alternative funding agreement.

Code

H102A

Description

ED comprehensive assessment and care – weekday daytime

FHO+ basket

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

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Emergency department comprehensive assessment and care by the ED physician on duty, Monday to Friday daytime (08:00 to 17:00).

What it covers

Comprehensive assessment and care is an ED or Hospital Urgent Care Clinic service that needs a full history (including systems review, past history, medication review and social/domestic evaluation), a full physical examination, treatment, and intermittent attendance over many hours as the patient's condition warrants (A15).

It includes interpreting any lab or imaging, and any needed liaison with the family physician, family, other institutions and agencies such as Home Care, CAS or police (A15). This code is for services in the Monday to Friday daytime (08:00 to 17:00) time band (A16).

Billing rules

• Use H-prefix ED codes when you are working a scheduled ED or Hospital Urgent Care Clinic shift, or when you are on call and the visit doesn't qualify for a special visit premium. Any physician on duty, whatever the specialty, must use these codes (GP50).
• Re-assessments can be billed in addition when they meet the re-assessment criteria (A15).
• Patients 65 and older: the fee is increased by 15% (GP64).
• Add E420 (+50%) for a trauma patient whose Injury Severity Score is above 15 (age 16+) or above 12 (under 16), recorded in the chart, on the day of the trauma or within 24 hours. Submit it on the same claim (GP109).
• Special visit premiums are not payable with H-prefix ED codes (GP65).
• Not payable fee-for-service in an ED covered by an alternative funding agreement, except under the AFA's second on-call or GP Expert group numbers (GP110).

Often billed with

• H104 re-assessment, at least 2 hours after the assessment when further care is needed (A15, A16).
• H105 in-patient interim admission orders when another physician will admit the patient (A16).
• E420 trauma premium for qualifying trauma patients (GP109).
• H264 pelvic exam with speculum, payable in addition to an assessment (A18).

Common rejections

• ESD: The hospital ED is part of an alternative funding agreement, so H-prefix services there aren't paid fee-for-service unless billed under the AFA's second on-call or GP Expert group number (GP110).

Related codes: H103, H101, H104, H132, H152, H122, H065, H105

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00) – Emergency Department Physician, page A16; definitions A15, GP50.

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