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Billing code

C157A — Endocrinology subsequent hospital visit – weeks 6 to 13

Endocrinology hospital visit, weeks 6–13

Bill C157 for an endocrinologist's routine in-patient follow-up visit from the 6th to the 13th week after admission.

Watch for: Maximum 3 visits per patient per week; bill an acute intercurrent illness visit as C121 instead.

Code

C157A

Description

Endocrinology subsequent hospital visit – weeks 6 to 13

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 from the sixth to the thirteenth week after admission, up to 3 per week.

What it covers

A subsequent visit is any routine assessment in hospital after the admission assessment (GP43). C157 is for visits from the sixth to the thirteenth week of the stay inclusive (A102).

C152 covers the first five weeks and C159 the time after week 13 (A102).

Billing rules

• Maximum 3 visits per patient per week from week 6 to week 13; extra visits aren't payable (A102, GP43).
• After 5 weeks, a visit needed for an acute intercurrent illness beyond the weekly limit is billed as C121, which has no weekly limit (GP43).
• If the patient was referred to you in hospital, count from the date you first assessed them; after a transfer of care, count from the actual admission date (GP43).
• Detention (K001) is only payable after 30 minutes (GP30).
• Not on the virtual care list (Appendix J).

Often billed with

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

Common rejections

• AM1: More than 3 visits in a week between weeks 6 and 13; bill an acute intercurrent illness visit as C121 instead (GP43).

Related codes: C152, C159, C121, C158, E083, E084

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

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