Billing code
A186A — Neurology repeat consultation
Neurology repeat consultation
A neurologist bills A186 for another 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.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $125.50 | $0.00 | $0.00 | $0.00 |
- Code
- A186A
- Description
- Neurology 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
Repeat neurology consultation: same neurologist, same problem, after another physician's care in between. Needs a new written request.
What it covers
A repeat consultation is by the same consultant for the same presenting problem, after another physician has cared for the patient since your first consultation. It needs a new written request (GP19).
A186 is the neurology office version; the full consultation is A185 (A140).
Billing rules
- Needs a new written, signed request from the referring physician or nurse practitioner (GP19).
- Repeat consultations do not count toward the consultation limits; if the repeat-consultation conditions aren't met, it is paid as an assessment (GP18).
- Detention (K001) can start only after 60 minutes and is assessed on an IC basis with a written explanation (GP30–GP31).
- Age premiums apply for patients under 16, from +10% to +30% depending on age (GP64).
- Can be done by video only (not telephone); add K300A to the claim (Appendix J AJ2, A66).
Common rejections
- ARF: The claim has no referring provider number. A consultation must follow a written referral that identifies the referring physician or nurse practitioner and their billing number (GP16).
- AT2: Billed by telephone (K301A). This code is on Appendix J's video-only list, so it must be done by video and claimed with K300A (AJ2).
Related codes: A185, A385, A180, A184, C186
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Neurology (18), page A140; rules GP18–GP19.
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