OHIP Billing Codes 2026 — Searchable Fee Schedule
Search 6,347 active OHIP fee codes — updated to the April 1, 2026 Fee Schedule Master. Find any billing code, fee amount, and specialty instantly. Free — no signup required.
Regulatory Currency
This guide reflects the following MOH INFOBulletins:
- 260312 — New and Updated Explanatory Codes (Apr 8, 2026)
- 260304 — PSA Fee Schedule Adjustments (Apr 1, 2026)
Last verified: April 16, 2026
What’s New in April 2026
145 new billing codes added to the Fee Schedule Master, including new MAID codes (A320, C320, K321), new Occupational Medicine specialty codes, and surgical unbundling for pre/post-operative care.
4,555 fee adjustments — most codes increased ~10–14% reflecting PSA Year 3 permanent adjustments.
What Are OHIP Billing Codes?
OHIP billing codes are alphanumeric service identifiers used by Ontario physicians to submit claims to the Ministry of Health. Each code has a set fee amount from the Fee Schedule Master (FSM), updated April and October annually. The April 2026 FSM contains 6,347 active codes across all specialties. Common examples include A003 (general assessment, $95.60), A004 (general re-assessment, $48.15), and the new FHO+ codes Q310–Q313 for time-based billing.
OHIP Fee Schedule 2026
The OHIP Fee Schedule Master (FSM) effective April 1, 2026 includes 7,522 total entries (6,347 active). Most fee codes increased 10–14% reflecting PSA Year 3 permanent adjustments, with 145 brand-new codes added. Use the search tool below to look up any fee code, fee amount, and specialty. All data is sourced directly from the Ontario Ministry of Health.
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Get a Free Billing AssessmentData sourced from the Ontario Ministry of Health Fee Schedule Master (effective April 1, 2026) and the Schedule of Benefits for Physician Services. Updated April 10, 2026. OpsMed updates this database within 48 hours of every FSM release.
The April 2026 Fee Schedule Master contains 7,522 entries. This tool searches the 6,347 active codes; 1,175 inactive and deleted codes are excluded from search results.
Need a diagnostic code? → OHIP Diagnostic Code Lookup | Claim rejected? → OHIP Rejection Code Lookup | Billing FHO+ time codes? → FHO+ Billing Guide
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Frequently Asked Questions
How often is this OHIP fee code database updated?
The Ministry of Health updates the OHIP Fee Schedule Master (FSM) twice per year: April 1 and October 1. This database reflects the April 1, 2026 FSM — the most current version. We update within 24 hours of each new release.
Where does this OHIP billing code data come from?
All fee amounts are sourced directly from the Ontario Ministry of Health's official Fee Schedule Master (FSM) file, effective April 1, 2026. Descriptions are from the Schedule of Benefits for Physician Services (March 9, 2026 edition, effective April 1, 2026). Both documents are published by the Ministry of Health at ontario.ca.
What are the new FHO+ billing codes Q310, Q311, Q312, and Q313?
Q310–Q313 are new hourly-rate billing codes introduced April 1, 2026 for Family Health Organization (FHO) physicians. Q310 ($20.00/hr) covers in-person or video direct patient care. Q311 ($17.00/hr) covers telephone-based patient care outside office hours. Q312 ($20.00/hr) covers indirect patient care (chart review, care coordination). Q313 ($20.00/hr) covers clinical administration. These codes represent a significant shift toward time-based compensation for FHO physicians.
How do I submit OHIP claims using these codes?
OHIP claims are submitted electronically through the Ministry's MC EDT (Medical Claims Electronic Data Transfer) system using billing software approved by the Ministry of Health. Claims must be submitted within 3 months of the date of service. OpsMed provides fully managed standard OHIP billing at 1.5% of paid claims — including claim preparation, submission, error handling, and reconciliation.
Which codes show fee increases for April 2026?
The April 2026 FSM includes fee increases across many common codes. A001 (Minor assessment) increased from $23.75 to $26.80 (+$3.05). A003 (General assessment) increased from $87.35 to $95.60 (+$8.25). Use the "Show fee changes" filter in the lookup tool above to see all 4,102 codes with updated fees for April 2026.