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Billing code

C206A — Obstetrics and gynaecology repeat consultation – hospital in-patient

Obstetrics-gynaecology in-patient repeat consultation

Bill for another consultation on the same problem for a hospital in-patient after another physician cared for them in between.

Watch for: Needs a new written request with the referrer's billing number; otherwise it pays as an assessment.

Code

C206A

Description

Obstetrics and gynaecology repeat consultation – 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

Repeat obstetrics and gynaecology consultation for a hospital in-patient: same problem, after another physician's care in between.

What it covers

C206 is a repeat consultation by an obstetrician-gynaecologist for a non-emergency hospital in-patient (A150).

A repeat consultation is an additional consultation by the same consultant for the same presenting problem, after another physician has cared for the patient in the interval since the first consultation (GP19). Marked *: includes, where indicated, biopsy of the cervix, collection of cervical cancer screening specimens and examination of trichomonas suspension (A151, note).

Billing rules

• Needs a new written request from the referring physician, nurse practitioner or dental surgeon, with the same requirements as a consultation (GP19, GP16).
• If the repeat consultation requirements aren't met, it pays as an assessment (GP18, rule 3b).
• Repeat consultations don't count toward the consultation limits (GP18, note 1).
• Specialist consultations and repeat consultations get an age premium for patients under 16: 30% under 30 days, 25% to 1 year, 20% to 2 years, 15% to 5 years, 10% to 16 years (GP64).
• Can be done by video only (not telephone) with K300A, for a patient with an existing relationship (Appendix J AJ2; A70). For in-patients the virtual physician must not be 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 (A69, rule 8).

Common rejections

• ARF: 'Missing physician referring number': a consultation needs the referring provider's number from the written request (GP16).
• A4D: 'Invalid specialty for this service code': these codes are for Obstetrics and Gynaecology (20). Specialists must bill from their own specialty's listings (GP9).
• AT2: 'Must include video modality': this code is video-only for virtual care, so it can't be billed with K301A telephone (Appendix J AJ2).

Related codes: C205, C203, C204, A206, W306, C935

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Obstetrics and Gynaecology (20), page A150.

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