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Billing code

A268A — Enhanced 18 Month Well Baby Visit (see General Preamble Gp34)

Paediatric 18-month well-baby visit

A paediatrician bills A268 for well-baby care plus an 18-month developmental screen and parent-tool review, for a child aged 17 to 24 months.

Watch for: Only paediatricians bill A268 (family physicians bill A002), and the chart must record the screen and any concerns.

Code

A268A

Description

Enhanced 18 Month Well Baby Visit (see General Preamble Gp34)

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

Paediatrician's enhanced 18-month well-baby visit: well-baby care plus a developmental screen and review of a parent-completed tool, age 17 to 24 months.

What it covers

A268 is the enhanced 18-month well-baby visit in the Paediatrics (26) listing (A170). The paediatrician does all of the following for a child aged 17 to 24 months: well-baby care (a complete examination with weight and measurements, and instructions to the parents); an 18-month age-appropriate developmental screen; and a review with the parent or caregiver of a brief standardized tool they completed that helps identify children at risk of a developmental disorder (GP34).

The Schedule gives the Rourke Baby Record as an example of the screen and the Nipissing District Developmental Screen as an example of the parent tool (GP34).

Billing rules

• Only for children aged 17 to 24 months (GP34).
• Payable only when the chart records the developmental screen and any concerns found in the review of the parent-completed tool, in addition to the usual well-baby care record (GP34).
• Other well-baby visits in the first two years are part of the level 2 paediatric assessment, A262 (GP27, A170).
• Detention (K001) can only start after 60 minutes (GP30).
• Not on the Appendix J list, so it isn't payable by video or telephone (A68, AJ1, AJ2).
• Family physicians bill the same service as A002 (A4).

Common rejections

• A4D: A268 is in the Paediatrics (26) listing, and specialists bill from their own specialty's listing (GP9). A family physician bills A002 for this visit.

Related codes: A262, A002, K267, K119

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Paediatrics (26), page A170; General Preamble GP34 (enhanced 18 month well baby visit)

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