Billing code
E060A — - Post Renal Transplant Assessment Premium - Add 25%
Post-kidney transplant premium
Add to a nephrologist's office assessment for post-transplant care within 3 years of the patient's kidney transplant.
Watch for: Bill on the same claim as an eligible nephrology assessment, by a Nephrology (16) specialist only.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $0.01 | $0.00 | $0.00 | $0.00 |
- Code
- E060A
- Description
- - Post Renal Transplant Assessment Premium - Add 25%
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2020
- Termination date
- No end date
Explanation
Updated October 26, 2026
Premium added to a nephrologist's office assessment when it is post-transplant care within 3 years of the patient's renal transplant.
What it covers
The post renal transplant assessment premium is paid on top of the assessment fee (A136). It applies to a medical specific assessment (A163), medical specific re-assessment (A164), complex medical specific re-assessment (A161) or partial assessment (A168).
The visit must be for post-transplant care, and the patient must be within the first three years after their renal transplant (A136).
Billing rules
- Only for physicians with specialty designation 16 (Nephrology) (A136).
- Only with A163, A164, A161 or A168 (A136).
- Not payable in an emergency department or ED equivalent, for hospital in-patients, or for patients seen in a long-term care facility (A136–A137).
- In person the premium is +50% of the assessment; with a comprehensive virtual visit it is 25% of the virtual fee (A136, A74).
Often billed with
- A163, A164, A161 or A168 nephrology assessments (A136).
Common rejections
- AD9: E060 was billed without an eligible assessment (A163, A164, A161 or A168) on the claim; the premium can't be paid alone (A136).
- A4D: E060 was billed by a physician whose specialty isn't Nephrology (16) (A136).
Related codes: A163, A164, A161, A168, G412, G408
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Nephrology (16), page A136.
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