Bulletin 250401 — Updates to Fee Schedule Master
Changes to fee codes on April 1, 2025.
To: All Physicians
Category: Physician services, Community surgical and diagnostic centres
Written by: Claims Services Branch, Health Programs and Delivery Division
Date issued: March 31, 2025
Bulletin Number: 250401
The Ministry of Health (the ministry) and the Ontario Medical Association (OMA) have been working together to implement physician compensation increases in accordance with the Arbitration Award (Award) for Year 1 of the 2024-2028 Physician Services Agreement (PSA).
The value of Fee Schedule Codes (FSCs) will revert to the rates listed in the Schedule of Benefits (Schedule) for claims with a service date on or after April 1, 2025. Please refer to the Schedule available on the Ministry of Health's website at OHIP Schedule of Benefits and fees under Schedule of Benefits for Physician Services for current FSC values.
The updated fee schedule master file is expected to be available on the Ministry of Health's website at OHIP Schedule of Benefits and Fees under the Fee Schedule Master section by April 4, 2025.
Additional information regarding ongoing implementation of the Year 1 Award for the period of April 1, 2025 going forward will be provided in a subsequent INFOBulletin.
Update your billing software
Please ensure that your billing software is updated to reflect the new FSC values for any services rendered on or after April 1, 2025, before submitting your claims.
Claims processed through the OHIP claims system with service dates on or after April 1, 2025 will reflect these changes and will be reported on your Remittance Advice.
Keywords/Tags
FSM; payments; physicians; Physician Services Agreement; PSA; Fee Schedule Master; Schedule of Benefits
Contact Information
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