Billing code
A604A — Cardiology medical specific re-assessment
Cardiology follow-up assessment
Bill A604 for a cardiologist's follow-up with a full relevant history and exam of one or more systems.
Watch for: Limited to two per patient per physician per 12 months, except for hospital admissions; extras are paid at a lesser fee.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $72.65 | $0.00 | $0.00 | $0.00 |
- Code
- A604A
- Description
- Cardiology medical specific re-assessment
- 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
Medical specific re-assessment by a cardiologist: full relevant history and exam of one or more systems at a follow-up visit.
What it covers
A medical specific re-assessment is a specialist service with a full, relevant history and physical exam of one or more systems (GP23).
A604 is the cardiology (60) medical specific re-assessment (A79).
Billing rules
- Limit two per patient per physician per 12 months, except for hospital admissions; extras are paid at a lesser fee (GP23).
- Add E088 when the patient has an established, documented diagnosis of congestive heart failure and you see them in the office or a hospital out-patient clinic (not ED, in-patient or LTC) (A79).
- Can be done by video or phone as comprehensive virtual care when you have an existing relationship with the patient (Appendix J AJ1).
Often billed with
- E088 congestive heart failure premium (A79).
Common rejections
- AT3: Billed as virtual care (K300A/K301A) without an existing patient-physician relationship (A66).
Related codes: A603, A601, A608, E088, C604
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Cardiology (60), page A79; rules GP23.
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