FHO+ Long-Term Care Base Rate Fee Codes (April 2026)
Enrolled long-term care patients are paid a flat LTC base rate of $1,223.22 per year, not age- or sex-adjusted. The codes in that basket are Schedule 2A.
Those same claims also shadow-bill at 30%. If the code is also on Schedule 2B, the shadow billing premium is 50%.
Schedule 2A — Long-term care base rate
Fee codes included in the Long-Term Care Base Rate payment.
| Fee code | Description | Shadow billing |
|---|---|---|
| A001A | Minor Assessment | 30% |
| A003A | General Assessment | 30% |
| A004A | General Re-Assessment | 30% |
| A007A | Intermediate Assessment/Well Baby Care | 30% |
| A008A | Mini Assessment | 30% |
| A101A | Limited virtual care service - video | 30% |
| A102A | Limited virtual care service - phone | 30% |
| A110A | GP Periodic oculo-visual assessment ages 19 and below | 30% |
| A112A | GP Periodic oculo-visual assessment ages 65 and over | 30% |
| A990A | Special visit to Office - Weekdays - Daytime - First patient | 30% |
| A994A | Special Visit to Office - Evenings - First Patient | 30% |
| A996A | Special Visit to Office - Nights - First Patient | 30% |
| A998A | Special Visit to Office - Saturday, Sunday or Holidays - First patient | 30% |
| E430A | Papanicolaou Smear outside of hospital | 30% |
| G001A | Laboratory Medicine - Cholesterol Total | 30% |
| G002A | Laboratory Medicine - Glucose Quantitative or Semi Quantitative | 30% |
| G004A | Laboratory Medicine - Occult Blood | 30% |
| G005A | Laboratory Medicine - Pregnancy Test | 30% |
| G009A | Laboratory Medicine - Urinalysis - Routine Etc. | 30% |
| G010A | Laboratory Medicine - Urinalysis - One Or More Parts of G009A without Microscopy | 30% |
| G011A | Laboratory Medicine - Fungus Culture Including Koh & Smear | 30% |
| G012A | Laboratory Medicine - Wet Preparation (Fungus, Trichomonas, Parasites) | 30% |
| G014A | Laboratory Medicine - Rapid Streptococcus | 30% |
| G197A | Allergy - Skin Tests - Professional Component | 30% |
| G202A | Allergy - Hyposensitisation | 30% |
| G205A | Allergy - Insect Venom Desensitisation | 30% |
| G212A | Allergy - Hyposensitisation Injection Plus Basic | 30% |
| G271A | Anticoagulant supervision - telephone advice | 30% |
| G365A | Papanicolaou smear | 50% |
| G372A | Injections - Intradermal, Subcutaneous or Muscular - With visit or Additional | 30% |
| G373A | Injections - Intradermal, Subcutaneous or Muscular - Basic Fee | 30% |
| G375A | Intralesional infiltration one or two lesions | 30% |
| G377A | Intralesional infiltration 3 or more | 30% |
| G379A | Injection/Infusions - Intravenous - child or adult | 30% |
| G384A | Injection/infusions - Infiltration tissues, trigger point | 30% |
| G385A | Injection/infusions - each additional site, add to G384 | 30% |
| G394A | Papanicolaou smear - additional | 30% |
| G420A | Ear syringing/curetting | 30% |
| G435A | Tonometry | 30% |
| G462A | Administration of oral polio vaccine | 50% |
| G481A | Laboratory medicine in office - Haemoglobin screen and/or haematocrit - screen any method or instruments | 30% |
| G482A | Venipuncture - child | 30% |
| G489A | Venipuncture - adolescent or adult | 30% |
| G525A | Diagnostic Hearing Tests | 30% |
| G538A | Injection/infusions - immunization per visit, each injection | 50% |
| G590A | Injection of Influenza Agent | 30% |
| G840A | Immunization - Diphtheria, Tetanus, and acellular Pertussis vaccine/Inactive Poliovirus vaccine (DTaP-IPV) - paediatric | 50% |
| G841A | Immunization - Diphtheria, Tetanus, acellular Pertussis, Inactivated Polio virus, Haemophilus influenza type b (DTaP-IPV-Hib) - paediatric | 50% |
| G842A | Immunization - Hepatitis B (HB) | 50% |
| G843A | Immunization - Human Papillomavirus (HPV) | 50% |
| G844A | Immunization - Meningococcal C Conjugate (Men-C) | 50% |
| G845A | Immunization - Measles, Mumps, Rubella (MMR) | 50% |
| G846A | Immunization - Pneumococcal Conjugate | 50% |
| G847A | Immunization - Diphtheria, Tetanus, acellular Pertussis (Tdap) - adult | 50% |
| G848A | Immunization - Varicella (VAR) | 50% |
| K004A | Family - Psychotherapy | 30% |
| K005A | Primary Mental Health Care | 30% |
| K006A | Hypnotherapy | 30% |
| K007A | Psychotherapy | 30% |
| K008A | Diagnostic Interview with child or parent | 30% |
| K013A | Counselling | 30% |
| K015A | Counselling - Catastrophic on behalf of patient | 30% |
| K017A | Periodic health Visit - Child after second birthday | 30% |
| K070A | Home Care Application | 30% |
| K071A | Acute home care supervision | 30% |
| K072A | Chronic home care supervision | 30% |
| K130A | Periodic health Visit - adolescent | 30% |
| K131A | Periodic Health Visit - adult aged 18 to 64 inclusive | 30% |
| K132A | Periodic Health Visit - adult aged 65 years and above | 30% |
| K133A | Periodic Health Visit - Adults with Intellectual and Developmental Disabilities | 30% |
| W001A | Subsequent Visits per month - Chronic/Convalescent Hospital | 30% |
| W002A | First four visits per month - Chronic/Convalescent Hospital | 30% |
| W003A | First two visits per month - Nursing Home/Home for the Aged | 30% |
| W004A | General Re-Assessment - LTC | 30% |
| W008A | Subsequent Visits - Nursing Home/Home for the Aged | 30% |
| W010A | Monthly management fee - Nursing Home/Home for the Aged | 30% |
| W102A | Admission Assessment Type 1 - LTC | 30% |
| W104A | Admission Assessment Type 2 - LTC | 30% |
| W105A | Consult - LTC | 30% |
| W106A | Repeat Consult - LTC | 30% |
| W107A | Admission Assessment Type 3 - LTC | 30% |
| W109A | Periodic Health Visit - LTC | 30% |
| W121A | Additional visits due to Intercurrent illness | 30% |
| W771A | Certification of death - LTC | 30% |
| W777A | Visit for Pronouncement of Death - LTC | 30% |
| W872A | Palliative Care - Nursing Home/Home for the Aged | 30% |
| W882A | Palliative Care - Chronic Hospital/Nursing Homes | 30% |
| W903A | Pre-dental/pre-surgical General Assessment | 30% |
| Z101A | Incision - Skin - Abscess- Subcutaneous - Local Anaesthetic | 50% |
| Z176A | Skin - Suture/laceration-up to 5cm | 50% |
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