Billing code
C087A — Subsequent hospital visit – plastic surgery, sixth to thirteenth week
Plastic surgery visit, weeks 6–13
Bill C087 for a plastic surgeon's routine in-patient visit from the 6th to the 13th week after admission.
Watch for: Maximum 3 visits per patient per week; bill extra visits for an acute intercurrent illness as C121.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $31.00 | $0.00 | $0.00 | $0.00 |
- Code
- C087A
- Description
- Subsequent hospital visit – plastic surgery, sixth to thirteenth week
- 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
Plastic surgeon's routine hospital visit after admission, sixth to thirteenth week.
What it covers
A subsequent visit is any routine assessment in hospital after the admission assessment (GP43). C087 is the plastic surgery subsequent visit for sixth to thirteenth week of the stay (A181).
The surgical fee covers post-procedure monitoring only until the first post-operative visit (SP1).
Billing rules
- Maximum 3 visits per patient per week in weeks 6 to 13; extras are not payable (A181, GP43).
- For a surgeon, count weeks from the admission date if you admitted the patient, or from the referral date if the patient was referred to you in hospital (SP2, GP43).
- If a patient is transferred to you, count from the patient's actual admission date (GP43).
- Seeing another physician's patient on an emergency basis uses the general (A-prefix) listings (GP43).
- If you are the MRP, E083 (+30%) may be added; E084 (weekend/holiday) is not available to plastic surgery (08) (GP47).
- Visits for an acute intercurrent illness beyond the weekly limit are billed as C121 (GP43).
- Not on the Appendix J virtual care list, so not payable by video or phone (Appendix J).
Often billed with
- E083 if you are the most responsible physician (GP47).
Related codes: C082, C089, C121, C124, E083
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Plastic Surgery (08), page A181; rules GP43, SP2.
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