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Billing code

C232A — Ophthalmology subsequent hospital visit – first five weeks

Ophthalmology hospital visit, weeks 1–5

Bill for an ophthalmologist's routine hospital visit after the admission assessment, during the first five weeks after admission or referral.

Watch for: Only one per patient per day; extra visits aren't paid.

Code

C232A

Description

Ophthalmology subsequent hospital visit – first five weeks

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Jun 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Routine in-patient follow-up visit by an ophthalmologist during the first 5 weeks after admission (or referral). One per day.

What it covers

A routine in-patient visit by an ophthalmologist after the admission assessment, during the first five weeks (A162, GP43).

For emergency calls and special visits to in-patients, use the general listings and premiums instead (A162).

Billing rules

• A subsequent visit is any routine assessment in hospital after the admission assessment (GP43).
• Limits: 1 per patient per day for the first 5 weeks, 3 per week in weeks 6–13, and 6 per month after week 13. Visits over the limit are not payable (GP43).
• After 5 weeks, a visit for an acute intercurrent illness beyond the limits is C121 (GP43).
• When an in-patient is referred to you, the date you first assess them counts as the admission date. On transfer of care, count from the actual admission date (GP43).
• If you are the MRP, E083 (+30%) can be added to subsequent visits (GP47).
• Not listed in Appendix J, so not payable as a virtual service (AJ1–AJ2).

Often billed with

• E083 MRP premium when you are the most responsible physician (GP47).

Common rejections

• AM1: Service limit exceeded: only 1 subsequent visit per patient per day is payable in the first 5 weeks (GP43).

Related codes: C237, C239, C121, C238, E083, C122

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Ophthalmology (23), page A162.

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