Billing code
C101A — Intensive Or Coronary Care Unit Premium
Intensive or coronary care premium
Bill C101 as a flat add-on for each patient seen on a visit to the intensive care or coronary care unit.
Watch for: Not payable with supportive care, or when critical, ventilatory or other listed team fees are claimed.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $9.10 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- C101A
- Description
- Intensive Or Coronary Care Unit Premium
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Premium added for each patient seen on a visit to the intensive care or coronary care unit (ICU or CCU).
What it covers
C101 is the intensive or coronary care unit premium, a flat add-on for each patient seen on a visit to an ICU or CCU (GP103).
It can also be paid alone when no other separate fee is payable for the service provided in the ICU or CCU (GP103).
Billing rules
- Not payable with supportive care (GP103).
- Not payable with critical care, ventilatory care, comprehensive care, acquired brain injury management or neonatal intensive care when team fees are claimed (GP103).
- Payable alone when no other separate fee applies to the ICU/CCU visit (GP103).
Often billed with
- Cardiology in-patient visits such as C602, C607, C609 or C608 for a patient in the ICU or CCU (A80, GP103).
Related codes: C602, C608, C142, G400, G405, G557
Source: Schedule of Benefits (July 1, 2026), General Preamble, Other Premiums (Intensive or Coronary Care Unit Premium), page GP103.
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