OHIP billing code for FHO+ hourly billing
FHO+ billing codes for time, in 15-minute units: Q310A direct care, Q311A phone care away from the clinic, Q312A indirect care, Q313A clinical administration.
| Code | What it is | Fee |
|---|---|---|
| Q310A | FHO+ hourly direct patient care | $20.00 |
| Q311A | FHO+ hourly phone care away from the clinic | $17.00 |
| Q312A | FHO+ hourly indirect patient care | $20.00 |
| Q313A | FHO+ hourly clinical administration | $20.00 |
Q310A: FHO+ hourly direct patient care
FHO+ hourly code for direct patient care: in-person and synchronous virtual care to enrolled patients, billed in 15-minute units a day.
Billing rules
- Billed in 15-minute units per day, totalled across enrolled patients; 8 minutes or more left over counts as a unit (Agreement p.63 §6.3–6.4).
- Only in the usual family practice setting, including LTC homes and home visits, for enrolled patients (Agreement p.61 §6.1).
- Not for ED, in-hospital work (including labour and delivery), anaesthesia, surgical assist, Independent Health Facilities, non-enrolled patients, uninsured services or travel time (Agreement p.63 §6.5).
- All hourly codes together: at most 14.0 hours a day and 240.0, 248.6, 257.1 or 265.7 hours in a 28-, 29-, 30- or 31-day month (Agreement p.63–64 §6.6).
- Phone care given while you are not in the usual clinic setting is billed as Q311A, not Q310A (Agreement p.61 §6.1(ii)).
Common rejections
- V41: Since May 1, 2026, hourly codes billed at $0.00 reject V41 for service dates from April 1, 2026; bill the value of the units claimed (INFOBulletin 260501).
- VH1: The health number on the claim was blank or invalid; check how your billing software fills the patient fields on hourly claims.
- EPA: The physician isn't affiliated with an FHO, or an FHO locum billed without the FHO group number (INFOBulletin 260309).
- A3G: The Ministry's description for A3G is 'fee billed low'; check that the fee submitted matches the value of the units claimed.
Q311A: FHO+ hourly phone care away from the clinic
FHO+ hourly code for phone care to enrolled FHO patients when the physician is not in the usual clinic setting, in 15-minute units.
Billing rules
- Use Q311A only for phone care while away from the usual clinic setting. Phone care given in the office is direct care under Q310A (Agreement p.61 §6.1(i)–(ii)).
- Billed in 15-minute units per day, totalled across enrolled patients; 8 minutes or more left over counts as a unit (Agreement p.63 §6.3–6.4).
- Only in the usual family practice setting, including LTC homes and home visits, for enrolled patients (Agreement p.61 §6.1).
- Not for ED, in-hospital work (including labour and delivery), anaesthesia, surgical assist, Independent Health Facilities, non-enrolled patients, uninsured services or travel time (Agreement p.63 §6.5).
- All hourly codes together: at most 14.0 hours a day and 240.0, 248.6, 257.1 or 265.7 hours in a 28-, 29-, 30- or 31-day month (Agreement p.63–64 §6.6).
Common rejections
- VH1: The health number on the claim was blank or invalid; check how your billing software fills the patient fields on hourly claims.
- VJ7: OHIP received the claim more than three months after the service date, so it was rejected as stale-dated.
- EPA: The physician isn't affiliated with an FHO, or an FHO locum billed without the FHO group number (INFOBulletin 260309).
Q312A: FHO+ hourly indirect patient care
FHO+ hourly code for indirect care for a specific enrolled patient: charting, results, referrals, forms and care coordination.
Billing rules
- Not for third-party forms the patient can be billed for, such as insurance or medical-legal reports (Agreement p.62 §6.1(iii)(j)).
- Billed in 15-minute units per day, totalled across enrolled patients; 8 minutes or more left over counts as a unit (Agreement p.63 §6.3–6.4).
- Only in the usual family practice setting, including LTC homes and home visits, for enrolled patients (Agreement p.61 §6.1).
- Not for ED, in-hospital work (including labour and delivery), anaesthesia, surgical assist, Independent Health Facilities, non-enrolled patients, uninsured services or travel time (Agreement p.63 §6.5).
- All hourly codes together: at most 14.0 hours a day and 240.0, 248.6, 257.1 or 265.7 hours in a 28-, 29-, 30- or 31-day month (Agreement p.63–64 §6.6).
Common rejections
- V41: Since May 1, 2026, hourly codes billed at $0.00 reject V41 for service dates from April 1, 2026; bill the value of the units claimed (INFOBulletin 260501).
- EPA: The physician isn't affiliated with an FHO, or an FHO locum billed without the FHO group number (INFOBulletin 260309).
- VH1: The health number on the claim was blank or invalid; check how your billing software fills the patient fields on hourly claims.
- VJ7: OHIP received the claim more than three months after the service date, so it was rejected as stale-dated.
- A3G: The Ministry's description for A3G is 'fee billed low'; check that the fee submitted matches the value of the units claimed.
Q313A: FHO+ hourly clinical administration
FHO+ hourly code for clinical administration for the roster: screening outreach, EMR work and quality improvement needing a physician.
Billing rules
- Not for clinic operations such as staff, finance, supplies, leases or insurance, nor for patient-specific work (Q312A) or direct care (Agreement p.63 §6.2).
- Billed in 15-minute units per day, totalled across enrolled patients; 8 minutes or more left over counts as a unit (Agreement p.63 §6.3–6.4).
- Only in the usual family practice setting, including LTC homes and home visits, for enrolled patients (Agreement p.61 §6.1).
- Not for ED, in-hospital work (including labour and delivery), anaesthesia, surgical assist, Independent Health Facilities, non-enrolled patients, uninsured services or travel time (Agreement p.63 §6.5).
- All hourly codes together: at most 14.0 hours a day and 240.0, 248.6, 257.1 or 265.7 hours in a 28-, 29-, 30- or 31-day month (Agreement p.63–64 §6.6).
Common rejections
- V42: The number of services was missing or invalid; it must be two digits from 01 to 99, and for Q313A it is the number of 15-minute units (Agreement p.63 §6.4).
- V41: Since May 1, 2026, hourly codes billed at $0.00 reject V41 for service dates from April 1, 2026; bill the value of the units claimed (INFOBulletin 260501).
- VH1: The health number on the claim was blank or invalid; check how your billing software fills the patient fields on hourly claims.
- VJ7: OHIP received the claim more than three months after the service date, so it was rejected as stale-dated.
More fho+ and roster codes
Questions
What is the OHIP billing code for FHO+ hourly billing?
FHO+ billing codes for time, in 15-minute units: Q310A direct care, Q311A phone care away from the clinic, Q312A indirect care, Q313A clinical administration.
All OHIP billing codes by service
Updated October 26, 2026.