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Billing code

C192A — Psychiatry subsequent visit – weeks 1 to 5

Psychiatry hospital visit, weeks 1–5

Bill for a psychiatrist's routine hospital visit after the admission assessment, during the first five weeks of the stay.

Watch for: One per patient per day, and not paid the same day as K190 or K199 for the same patient.

Code

C192A

Description

Psychiatry subsequent visit – weeks 1 to 5

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 in-hospital follow-up visit by a psychiatrist during the first five weeks after admission, one per day.

What it covers

C192 is a subsequent visit by a psychiatrist to a non-emergency hospital in-patient during the first five weeks after admission (A186).

A subsequent visit is any routine assessment in hospital after the admission assessment (GP43).

Billing rules

• Subsequent visits are routine hospital assessments after the admission assessment. Limits: one per day for weeks 1–5, 3 per week for weeks 6–13, and 6 per month after week 13. Visits over the limit are not paid (GP43).
• C192 is limited to one per patient per day (GP43).
• When an in-patient is referred to you, the date you first assessed the patient counts as the admission date; after a transfer of care, count from the actual admission date (GP43).
• Not paid the same day as in-patient individual psychotherapy (K190) or individual in-patient psychiatric care (K199) by the same psychiatrist for the same patient (GP56).
• If you are the MRP, add E083 (+30%), or E084 (+45%) on Saturdays, Sundays and holidays; only one per patient per day (GP47).
• Not on the Appendix J virtual care lists, so it can't be billed as a virtual visit (AJ1–AJ2).
• The MRP's visits on the first and second day after admission are C122 and C123, and on the day of discharge C124 or C126 (A186, GP44–GP45).

Often billed with

• E083 or E084 MRP subsequent visit premium (GP47).

Related codes: C197, C199, C122, C123, C124, C121, E083, E084

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Psychiatry (19), page A186. Rules GP43–GP47, GP56.

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