Billing code
U023A — Dermatology repeat e-assessment
Repeat dermatology e-consult
Bill U023 for your first e-assessment after an earlier e-assessment or consultation by you for the same diagnosis.
Watch for: Include the requesting physician's or nurse practitioner's provider number on the claim, or it isn't payable.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $31.15 | $0.00 | $0.00 | $0.00 |
- Code
- U023A
- Description
- Dermatology repeat e-assessment
- 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
A dermatologist's first e-assessment after an earlier e-assessment or consultation by them for the same diagnosis.
What it covers
An e-assessment is a specialist's opinion or management advice given after a primary care physician or nurse practitioner sends patient information electronically through a secure server (e.g. secure messaging or EMR); the specialist must review all relevant data sent, including later additions (GP35).
A repeat e-assessment is the first one after your initial e-assessment or consultation, requested for the same diagnosis; review all relevant data and give management advice. Its time and intensity equal a specific assessment; you may reply by phone (GP37).
Billing rules
- Limit: one per patient per physician per 12 months; two if a second request concerns a clearly different, unrelated diagnosis (GP37).
- Pay only if you give your opinion or recommendations to the primary care physician or NP within 30 days of the request (GP35).
- Not payable when the purpose is to arrange transfer of care, or a consultation, visit, K-prefix time-based service, procedure or test; or if you give a K-prefix time-based service to the patient within 30 days after the request; or if either physician is paid other than fee-for-service for it (GP35).
- Your chart must hold the patient's name and health number, the requester's name, the date and reason for the request, and your opinion or advice (GP36).
- Include the primary care physician's or NP's provider number on the claim, or it is not payable (GP36).
- A consultation or visit you give within 60 days after the request, same diagnosis, pays only as a specific or partial assessment (GP35).
- Not payable to a supervising physician when a medical trainee provides it (GP81).
Common rejections
- ARF: Missing referring provider number: an e-assessment is only payable with the primary care physician's or nurse practitioner's provider number on the claim (GP36).
Related codes: U025, U026, U021, A026, A023, K738
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Dermatology (02), page A91; rules GP35–GP37.
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