Fee Schedule Master — April 2026 — General/Family Practice

OHIP Billing Codes for Family Practice

Browse General/Family Practice OHIP fee codes — pre-filtered from the April 1, 2026 Fee Schedule Master. Includes assessments (A-codes), counselling (K-codes), FHO+ time-based billing (Q310–Q313), and all pairing rules. Clear the specialty filter to search all 6,347 codes.

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

Family Practice OHIP Billing Codes

Family practice and general practice physicians use A-prefix assessment codes most frequently — A003 (general assessment, $95.60), A001 (minor assessment, $26.80), and A007 (intermediate assessment, $44.55). Counselling is billed under K-codes (K013, K030). FHO+ physicians also bill Q310–Q313 for time-based care. Most A-codes require a diagnostic code (dx) on the claim per MCEDT spec §4.9.

FHO+ Billing Codes (Q310–Q313)

Family Health Organization (FHO) physicians bill Q310–Q313 for time-based care at $17–$20/hr in 15-minute increments. These codes were introduced April 1, 2026 and represent a shift from shadow-billing to direct time-based compensation. Q310 (direct patient care), Q311 (telephone after hours), Q312 (indirect care), Q313 (clinical admin). See the FHO+ billing guide for claim requirements.

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Data 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

Found an error? Let us know — accuracy matters.

Family Practice OHIP Billing — FAQ

What are the most common OHIP billing codes for family practice?

The most commonly billed family practice codes are A001 (minor assessment, $26.80), A003 (general assessment, $95.60), A004 (general re-assessment, $39.35), A007 (intermediate assessment or well baby care, $44.55), and A008 (mini assessment, $13.40). Counselling codes K013 and K030 are also frequently used. All fees are from the April 1, 2026 Fee Schedule Master.

What are the FHO+ billing codes Q310, Q311, Q312, and Q313?

Q310–Q313 are hourly-rate billing codes for Family Health Organization (FHO) physicians introduced April 1, 2026. Q310 ($20.00/hr) is for in-person or video direct patient care. Q311 ($17.00/hr) covers telephone patient care outside office hours. Q312 ($20.00/hr) covers indirect patient care such as chart review. Q313 ($20.00/hr) covers clinical administration. These codes use 15-minute billing increments and replace the old shadow-billing structure for FHO physicians.

How many OHIP fee codes apply to general and family practice?

The April 2026 OHIP Fee Schedule Master includes several hundred codes classified under General/Family Practice (GP specialty). This includes A-prefix assessment codes, K-prefix counselling codes, Q-prefix FHO+ codes, and G-prefix procedural codes. Family physicians may also bill certain specialist-prefix codes depending on training and clinical context.