What are the billing rules for H114A?

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). Only when an assessment may not be claimed for the visit; if you can bill an ED assessment, bill that instead (A16). One premium (H112, H113 or H114) per patient visit (A16).

What is H114A often billed with?

The procedure or other service rendered at that visit (A16). E412 (+20%) for an eligible non-elective procedure in evening or weekend/holiday hours (GP104).

Why is H114A rejected?

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).

< Billing codes

Billing code

H114A — ED premium – Monday to Thursday evening, service without an assessment

Q: What is OHIP billing code H114A?

Premium for the ED physician who renders a service, with no assessment claimable, Monday to Thursday 17:00 to 24:00. One per patient visit.

ED evening premium, no assessment

Bill H114 once per patient visit for an ED service Monday to Thursday 17:00 to 24:00 when no assessment can be claimed.

Watch for: Only when no assessment can be claimed; one of H112, H113 or H114 per patient visit.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$23.65	$0.00	$0.00	$0.00	$0.00

Code: H114A
Description: ED premium – Monday to Thursday evening, service without an assessment
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

Premium for the ED physician who renders a service, with no assessment claimable, Monday to Thursday 17:00 to 24:00. One per patient visit.

What it covers

When the ED physician renders any other service in premium hours and an assessment may not be claimed, one premium is applied per patient visit. H114 is the premium for Monday to Thursday evenings (17:00 to 24:00) (A16).

It recognizes after-hours work when the visit's only billable service is something other than an ED assessment, for example a procedure (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).
Only when an assessment may not be claimed for the visit; if you can bill an ED assessment, bill that instead (A16).
One premium (H112, H113 or H114) per patient visit (A16).
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

The procedure or other service rendered at that visit (A16).
E412 (+20%) for an eligible non-elective procedure in evening or weekend/holiday hours (GP104).

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: H112, H113, H132, H133, E412

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00) – Emergency Department Physician, page A16 (payment rule 4).

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing