< Billing codes

Billing code

H151A — ED minor assessment – Friday evening, weekend or holiday

Weekend ED minor assessment

Bill H151 for a brief ED assessment of one part or problem, Friday 17:00–24:00 or weekends and holidays 08:00–24:00.

Watch for: Not paid fee-for-service in an ED under an alternative funding agreement, unless billed under its second on-call or GP Expert group number.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$34.15$0.00$0.00$0.00$0.00
Code
H151A
Description
ED minor assessment – Friday evening, weekend or holiday
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

ED minor assessment (brief history and exam of one part, or brief advice) by the ED physician on duty, Friday evening, weekend or holiday.

What it covers

A minor assessment includes a brief history and examination of the affected part or region (or related to a mental or emotional disorder), and/or brief advice or information about health maintenance, diagnosis, treatment or prognosis (GP27).

In the ED or a Hospital Urgent Care Clinic, the ED physician bills it with this code for the Friday evenings (17:00 to 24:00) and Saturdays, Sundays and holidays from 08:00 to 24:00 time band (A16).

Billing rules

  • Use H-prefix ED codes when you are working a scheduled ED or Hospital Urgent Care Clinic shift, or when you are on call and the visit doesn't qualify for a special visit premium. Any physician on duty, whatever the specialty, must use these codes (GP50).
  • Add E420 (+50%) for a trauma patient whose Injury Severity Score is above 15 (age 16+) or above 12 (under 16), recorded in the chart, on the day of the trauma or within 24 hours. Submit it on the same claim (GP109).
  • Special visit premiums are not payable with H-prefix ED codes (GP65).
  • Not payable fee-for-service in an ED covered by an alternative funding agreement, except under the AFA's second on-call or GP Expert group numbers (GP110).
  • If you only do a procedure in premium hours and no assessment can be claimed, use the H112, H113 or H114 premium instead of an assessment (A16).
  • For H-prefix ED codes, holidays include December 25 to 31 as well as the usual holidays (GP3).

Often billed with

  • H264 pelvic exam with speculum, payable in addition to an assessment (A18).
  • E420 trauma premium when the patient qualifies (GP109).

Common rejections

  • ESD: The hospital ED is part of an alternative funding agreement, so H-prefix services there aren't paid fee-for-service unless billed under the AFA's second on-call or GP Expert group number (GP110).

Related codes: H152, H153, H154, H101, H131, H121

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00) – Emergency Department Physician, page A16; definitions A15, GP50.

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