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Billing code

C034A — Specific Re-assessment

General surgery in-patient re-assessment

Bill C034 for a general surgeon's in-patient re-assessment with a full relevant history and exam of one or more systems.

Watch for: Two per patient per physician per 12 months, except admissions; the admission assessment is payable only as the major pre-operative visit.

Code

C034A

Description

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

General surgeon's specific re-assessment of a hospital in-patient: a full relevant history and exam of one or more systems.

What it covers

C034 is a specific re-assessment for a non-emergency hospital in-patient in the General Surgery (03) listings (A107).

A specific re-assessment is a specialist service requiring a full, relevant history and physical examination of one or more systems (GP23).

Billing rules

• Limited to 2 per patient per physician per consecutive 12 months, except re-assessments for hospital admissions; extra ones are paid at a lesser fee (GP23).
• The admission assessment is a specific re-assessment when a surgical specialist admits for a Z-code (IOP) procedure after assessing the patient before admission for the same illness, or when you assessed the patient and then admitted them for the same illness (GP23, GP40).
• As a surgeon, the admission assessment is not payable unless it is the major pre-operative visit (SP2, GP40).
• Routine visits after the admission assessment are subsequent visits (C032, C037, C039) (GP43).

Related codes: C033, C032, C035, C036, A033

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, General Surgery (03), page A107.

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