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Billing code

C152A — Endocrinology subsequent hospital visit – first five weeks

Endocrinology hospital visit, weeks 1–5

Bill C152 for an endocrinologist's routine in-patient follow-up visit in the first five weeks after admission.

Watch for: One per patient per day in the first 5 weeks; most responsible physician day-1, day-2 and discharge visits use their own codes.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$0.00$40.05$0.00$0.00$0.00
Code
C152A
Description
Endocrinology subsequent hospital visit – first five weeks
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

Routine follow-up visit by an endocrinologist to a hospital in-patient during the first five weeks after admission.

What it covers

A subsequent visit is any routine assessment in hospital after the admission assessment (GP43). C152 is for visits in the first five weeks after admission; C157 covers weeks 6 to 13 and C159 after week 13 (A102).

Attending surgery at the patient's request without assisting, and each physician's visit in multidisciplinary care, also count as subsequent visits (GP43).

Billing rules

  • One subsequent visit per patient per day in the first 5 weeks after admission; extra visits aren't payable (GP43).
  • If the patient was referred to you in hospital, count from the date you first assessed them; if care was transferred to you, count from the actual admission date (GP43).
  • The MRP bills C122 and C123 for the first and second days after admission and C124 or C126 on the day of discharge instead of C152 (A102, GP44, GP45).
  • Seeing another physician's patient on an emergency basis is billed under the General Listings (A-prefix), not as a subsequent visit (GP43).
  • Detention (K001) is only payable after 30 minutes (GP30).
  • Not on the virtual care list, so not payable by video or phone (Appendix J).

Often billed with

  • E083 MRP subsequent visit premium (+30%), or E084 (+45%) on Saturdays, Sundays and holidays; one per patient per day (GP47).

Common rejections

  • AM1: Only one subsequent visit per patient per day is payable in the first five weeks after admission (GP43).

Related codes: C157, C159, C158, C121, C122, C123, E083, E084

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Endocrinology & Metabolism (15), page A102; rules GP43–GP47.

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