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Billing code

C316A — Physical medicine and rehabilitation repeat consultation – hospital in-patient

Physiatry in-patient repeat consultation

Bill for another physiatry 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

C316A

Description

Physical medicine and rehabilitation 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

Second in-patient consultation by the same physiatrist for the same problem, after another physician gave care in between.

What it covers

A repeat consultation is another consultation by the same consultant for the same presenting problem, after another physician has cared for the patient since the first consultation (GP19).

C316 is the Physical Medicine & Rehabilitation (31) repeat consultation for a non-emergency hospital in-patient (A178).

Billing rules

• Has the same requirements as a consultation, including a new written request from the referring physician or nurse practitioner (GP19).
• If the repeat consultation rules are not met, it is paid as an assessment (GP18).
• Repeat consultations do not count toward the consultation limits (GP18).
• Non-emergency hospital in-patient service. For emergency calls and other special visits to in-patients, use the General Listings (A prefix) with premiums (A178, GP65–GP78).
• Specialist consultations, limited consultations and repeat consultations get an age premium: +30% under 30 days, +25% to 1 year, +20% to 2 years, +15% to 5 years, +10% to 16 years (GP64).
• Video only (never telephone) as virtual care (Appendix J, AJ2). For in-patients or long-term care residents, the virtual physician must not be the MRP, no local physician with the expertise is available (documented by the referrer), and the referrer must have assessed the patient in person within 30 days (A69).

Often billed with

• K001 detention after 60 minutes (GP30).

Common rejections

• ARF: The referring provider number is missing. A consultation needs a written request that names the referring physician or nurse practitioner and their billing number (GP16).
• AT2: This code may be billed by video only (Appendix J, AJ2). A virtual claim must carry K300A, not K301A (telephone).

Related codes: A316, C315, C515, W516

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Physical Medicine & Rehabilitation (31), page A178.

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