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Billing code

A176A — Vascular surgery repeat consultation

Vascular surgery repeat consultation

A vascular surgeon bills A176 for a second consultation on the same problem after another physician cared for the patient in between.

Watch for: Needs a new written request with the referrer's billing number on the claim; virtually, by video only, not telephone.

Code

A176A

Description

Vascular surgery repeat consultation

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Second consultation by the same vascular surgeon for the same problem, after another physician cared for the patient in between.

What it covers

A repeat consultation is another consultation by the same consultant for the same presenting problem, after another physician has cared for the patient since the first consultation (GP19).

A176 is the Vascular Surgery (17) repeat consultation in the General Listings (A208).

Billing rules

• Has the same requirements as a consultation, including a new written request from the referring physician or nurse practitioner (GP19).
• If the repeat consultation rules are not met, it is paid as an assessment (GP18).
• Repeat consultations do not count toward the consultation limits (GP18).
• Specialist consultations, limited consultations and repeat consultations get an age premium: +30% under 30 days, +25% to 1 year, +20% to 2 years, +15% to 5 years, +10% to 16 years (GP64).
• Can be done by video only, never by telephone; bill the code with K300A (Appendix J AJ2, A70).

Often billed with

• K001 detention after 60 minutes (GP30).

Common rejections

• ARF: The referring provider number is missing. A consultation needs a written request that names the referring physician or nurse practitioner and their billing number (GP16).
• AT2: This code may be billed by video only (Appendix J, AJ2). A virtual claim must carry K300A, not K301A (telephone).

Related codes: A175, A935, A173, C176, W176

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Vascular Surgery (17), page A208.

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