Billing code
H152A — ED comprehensive assessment and care – Friday evening, weekend or holiday
Weekend ED comprehensive assessment
Bill H152 for full ED assessment and care over many hours, 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.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $85.70 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- H152A
- Description
- ED comprehensive assessment and care – 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 comprehensive assessment and care by the ED physician on duty, Friday evenings and Saturdays, Sundays and holidays 08:00 to 24:00.
What it covers
Comprehensive assessment and care is an ED or Hospital Urgent Care Clinic service that needs a full history (including systems review, past history, medication review and social/domestic evaluation), a full physical examination, treatment, and intermittent attendance over many hours as the patient's condition warrants (A15).
It includes interpreting any lab or imaging, and any needed liaison with the family physician, family, other institutions and agencies such as Home Care, CAS or police (A15). This code is for services in 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).
- Re-assessments can be billed in addition when they meet the re-assessment criteria (A15).
- Patients 65 and older: the fee is increased by 15% (GP64).
- 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).
- For H-prefix ED codes, holidays include December 25 to 31 as well as the usual holidays (GP3).
Often billed with
- H154 re-assessment, at least 2 hours after the assessment when further care is needed (A15, A16).
- H105 in-patient interim admission orders when another physician will admit the patient (A16).
- E420 trauma premium for qualifying trauma patients (GP109).
- H264 pelvic exam with speculum, payable in addition to an assessment (A18).
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: H153, H151, H154, H102, H132, H122, H065, H105
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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