Announcing a 4.33% increase for eligible H-codes, effective April 1, 2025

To: Emergency Department Alternate Funding Agreement (EDAFA) physicians and groups
Category: Physician services
Written by: Physician Relations and Contract Oversight Branch, Physician and Provider Services Division
Date issued: January 16, 2026
Bulletin Number: 260102

The Ministry of Health and the Ontario Medical Association have been working together to implement the 2024 Physician Services Agreement (PSA). The PSA provides for investments in Emergency Medicine, including a 4.33% increase for eligible H-codes for fee-for-service Emergency Department (ED) physicians. This increase will flow through to the shadow billing premiums under Emergency Department Alternate Funding Agreements (EDAFAs).

The increase will be applied retroactively to the effective date of April 1, 2025, with relativity-based adjustments as described in Bulletin 250406 — Relativity-adjusted physician payment increases. The increases will begin to appear on the February 2026 Remittance Advice for claims processed in January 2026.

Retroactive increases for the period of April 1, 2025 to December 31, 2025 will be processed as soon as practicable. More details will be provided closer to the implementation date.

Eligible Emergency Department H-codes

Fee Schedule CodeDescription
H055Emergency department - physician on duty
H065Emergency physician consultation (non-specific in emergency medicine)
H101Minor assessment – general practice – emergency – doctor on duty
H102Comprehensive assessment & care
H103Multiple systems assessment – general practice – emergency – doctor on duty
H104General practice – reassessment - emergency department - physician on duty monday to friday days
H112Emergency department – doctor on duty - extra to procedure - 12 midnight to 8 a.m.
H113Emergency department – doctor on duty - extra to procedure – saturday/sunday/holidays
H121Emergency department physician on duty 12 midnight – 8 a.m. Minor assessment.
H12212 midnight to 8:00 a.m. Comprehensive assessment & care
H123Emergency department physician on duty 12 midnight – 8 a.m. Multiple system assessment
H124Emergency department physician on duty 12 midnight – 8 a.m. Re-assessment
H131Physician on duty in er - evenings (18:00-24:00)
H132Physician on duty in er - evenings (18:00-24:00)
H133Physician on duty in er - evenings (18:00-24:00)
H134General practice – reassessment - emergency department - physician on duty monday-friday evenings
H151Emergency department physician on duty saturday/sunday/holiday minor assessment
H152Saturday / sunday & holidays comprehensive assessment & care
H153Emergency department physician on duty saturday/sunday/holiday multiple systems assessment
H154Emergency department physician on duty saturday/sunday/holiday reassessment

Keywords/Tags

Physician Services Agreement; PSA;

Contact information

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