Billing code
C607A — Cardiology in-patient subsequent visit – weeks 6 to 13
Cardiology hospital visit, weeks 6–13
Bill for a cardiologist's routine hospital visit from the 6th to the 13th week after admission.
Watch for: Maximum 3 per patient per week; bill an extra visit for an acute intercurrent illness as C121 instead.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $40.05 | $0.00 | $0.00 | $0.00 |
- Code
- C607A
- Description
- Cardiology in-patient subsequent 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 a cardiologist to a hospital in-patient from the 6th to the 13th week after admission, up to 3 per week.
What it covers
C607 is a cardiology subsequent visit to a hospital in-patient from the sixth to the thirteenth week of the stay, inclusive, paid per visit (A80).
A subsequent visit is any routine assessment in hospital after the admission assessment. When several physicians in different disciplines are needed, each physician's visit is a subsequent visit (GP43).
Billing rules
- Maximum 3 per patient per week from weeks 6 to 13; visits over the limit are not payable (A80, GP43).
- After 5 weeks in hospital, an assessment needed for an acute intercurrent illness beyond the weekly limit is billed as C121, which has no weekly or monthly limit (A80, GP43).
- If the patient was referred to you by another physician in hospital, count weeks from the date you first assessed the patient; if care was transferred to you, count from the actual admission date (GP43).
- Not on the Appendix J virtual care list, so not payable by video or phone (AJ1–AJ3).
Often billed with
- E083 MRP subsequent visit premium (+30%), or E084 on Saturdays, Sundays and holidays (+45%; cardiology is an eligible specialty); only one per patient per day and only when you are the MRP (GP47).
- C101 ICU/CCU premium for each patient seen on a visit to the ICU or CCU, unless a critical care, ventilatory or comprehensive care team fee is claimed (GP103).
Related codes: C602, C609, C121, C124, C608, E083
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Cardiology (60), page A80; rules GP43–GP47.
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