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Billing code

A626A — Repeat Consultation

Repeat clinical immunology consultation

Bill A626 when you consult again on the same problem after another physician has cared for the patient in between.

Watch for: Needs a new signed written request; if repeat consultation requirements aren't met, it pays as a general or specific assessment.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$0.00$105.25$0.00$0.00$0.00
Code
A626A
Description
Repeat Consultation
FHO+ basket
Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date
Jun 1, 2025
Termination date
No end date

Explanation

Updated October 26, 2026

Clinical immunology repeat consultation: same consultant, same problem, after another physician's care in between. Needs a new written request.

What it covers

A626 is the repeat consultation in the Clinical Immunology (62) listing (A83). A repeat consultation is an additional consultation by the same consultant for the same presenting problem, after another physician has cared for the patient in the interval since the first consultation (GP19).

It has the same requirements as a consultation, including a new written request from the referring physician, nurse practitioner or dental surgeon and a written report back (GP16, GP19).

Billing rules

  • A new signed written request must be kept in your record (GP16, GP19).
  • If the repeat consultation requirements aren't met, it pays as a general or specific assessment (GP17-GP18).
  • Repeat consultations don't count toward the consultation limits (GP18).
  • In hospital in-patients, bill C626 (A84).
  • Detention (K001) can only start after 60 minutes (GP30).
  • Specialist consultations for children pay an age premium: 30% under 30 days, 25% to age 1, 20% to age 2, 15% to age 5 and 10% from 5 to 15 years (GP64).
  • Payable by video only, never telephone, as comprehensive virtual care with K300A (AJ2, A70).

Related codes: A625, A525, A623, A624, C626

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Clinical Immunology (62), pages A83-A84; General Preamble GP16-GP19 (consultation, repeat consultation), GP30 and GP64

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