OHIP billing code for holiday billing

OHIP holiday codes: on statutory holidays, special visit premiums and the Q012A after-hours premium apply to eligible visits.

Code	What it is	Fee
Q012A	After-hours premium	50% premium
B990A	Weekday daytime or elective home special visit premium, first patient	$28.25

Q012A: After-hours premium

After-hours premium code added to eligible visits for enrolled patients seen in scheduled evening, weekend or holiday sessions.

Only for enrolled patients seen in regularly scheduled after-hours sessions, after 5 pm on weekdays or any time on weekends and statutory holidays, never 8 am to 5 pm. Sessions must be open to scheduled and unscheduled patients at times patients are told about (OMA Q-codes guide p.8).
Not for patients seen after 5 pm because the clinic is running late (OMA Q-codes guide p.8).
Base codes: A001, A003, A004, A007, A008, A888, E089, K005, K013, K017, K030, K033, K130, K131, K132, Q050; the FHO agreement adds K133 and Q888 (OMA Q-codes guide p.8; Agreement p.68 §8.12; INFOBulletin 260316).
Q012A must be on each claim (OMA Q-codes guide p.8; Agreement p.68 §8.12).
Rate: Appendix Q lists 30% (AQ2). For FHO, the April 2026 agreement pays 50% of the full fee during Evening and Weekend Hours and Recognized Holidays (Agreement p.68 §8.12). Check the RA for the rate applied.

EPA: Q012A is limited to the listed enrolment models; OHIP doesn't show the physician approved for it under the billing number and group used.
EH2: The health card version code on the claim doesn't match OHIP's record for the patient; get the current version code and resubmit.
VH8: The date of birth on the claim doesn't match OHIP's record for that health number; correct it and resubmit.
EQE: The physician isn't registered as a member of the group whose number was used on the claim; check the group number.
VJ7: OHIP received the claim more than three months after the service date, so it was rejected as stale-dated.

Home special visit premium for the first patient seen on a weekday daytime non-elective call, and for elective home visits at any time.

Maximum 10 per physician per day, for any combination of non-elective and elective visits (GP75).
Only for the first patient seen, however many patients are seen in one home or in units of one multiple resident dwelling (GP75).
On weekday daytimes, payable only when a travel premium is payable for the trip, usually B960 (GP66).
Not payable with A001 or A007 done in the home, because travel is part of those services (GP75, A4).
A003 general assessment isn't payable in the home (A4); bill an eligible A-prefix assessment such as A900 (GP69, A6).

ADF: OHIP's description is 'required related procedure missing, invalid or paid at zero'. B990 is only paid with an eligible A-prefix assessment on the same claim (GP69); A001 and A007 don't qualify in the home (A4).

OHIP holiday codes: on statutory holidays, special visit premiums and the Q012A after-hours premium apply to eligible visits.

Updated October 26, 2026.