Billing code
C089A — Subsequent hospital visit – plastic surgery, after the thirteenth week
Plastic surgery visit, week 14+
Bill C089 for a plastic surgeon's routine in-patient visit after the 13th week of the stay.
Watch for: Maximum 6 visits per patient per month; 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
- C089A
- Description
- Subsequent hospital visit – plastic surgery, after the 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, after the thirteenth week.
What it covers
A subsequent visit is any routine assessment in hospital after the admission assessment (GP43). C089 is the plastic surgery subsequent visit for after the thirteenth week of the stay (A181).
The surgical fee covers post-procedure monitoring only until the first post-operative visit (SP1).
Billing rules
- Maximum 6 visits per patient per month after week 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 monthly 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, C087, 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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