Billing code
C151A — Endocrinology complex medical specific re-assessment – hospital in-patient
Complex endocrinology in-patient re-assessment
Bill C151 when an endocrinologist re-assesses an in-patient because the condition is complex, obscure or serious.
Watch for: Report in writing to the primary care physician, or it pays a lesser fee; limit 4 per patient per 12 months.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $83.40 | $0.00 | $0.00 | $0.00 |
- Code
- C151A
- Description
- Endocrinology complex medical specific re-assessment – hospital in-patient
- 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
Re-assessment of a hospital in-patient by an endocrinologist for a complex, obscure or serious condition, with a written report to the family doctor.
What it covers
A complex medical specific re-assessment is a re-assessment because of the complexity, obscurity or seriousness of the patient's condition. It includes all the requirements of a medical specific re-assessment (GP24).
C151 is the in-patient code; A151 is the office code (A98, A102).
Billing rules
- Report your findings, opinions or recommendations in writing to the patient's primary care physician, or it pays a lesser fee (GP24).
- Limited to 4 per patient per 12 months, and medical specific assessments plus complex medical specific re-assessments together are limited to 4 per 12 months; excess claims pay a lesser fee (GP24).
- The chronic disease premium E078 is not payable for hospital in-patients (GP25).
- Detention (K001) is only payable after 40 minutes (GP30).
- By video only for an in-patient or long-term care resident, and only if you aren't the MRP, no local physician with the expertise is available (documented by the referrer), and the referrer assessed the patient in person within the past 30 days (Appendix J AJ2, A69).
Related codes: A151, C154, C153, C760, C152
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Endocrinology & Metabolism (15), page A102; rules GP24.
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