Billing code
W036A — Repeat Consultation
Long-term care surgical repeat consult
Bill for a general surgeon's repeat consultation on the same problem after another physician has cared for the patient in between.
Watch for: Needs a new written request; put the referring physician's number on the claim or it may be rejected.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $76.45 | $0.00 | $0.00 | $0.00 |
- Code
- W036A
- Description
- Repeat Consultation
- 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
General surgeon's repeat consultation in long-term care: same problem, after another physician has cared for the patient in between.
What it covers
W036 is a repeat consultation for a non-emergency long-term care in-patient in the General Surgery (03) listings (A108).
A repeat consultation is an additional consultation by the same consultant for the same presenting problem, after another physician has given care in the interval (GP19).
Billing rules
- Needs a new written request from the referring physician, nurse practitioner or dental surgeon (GP19).
- Repeat consultations do not count toward the consultation limits; if the requirements are not met it is paid as an assessment (GP18).
- Specialist repeat consultations take the age premium for patients under 16 (GP64).
- W-prefix services apply to chronic care and convalescent hospitals, nursing homes, homes for the aged, and chronic or convalescent beds, but not designated palliative care beds (GP49, A108).
- For emergency calls and other special visits, use the General Listings (A-prefix) with the Table IV special visit premiums (A108, GP73).
Common rejections
- ARF: OHIP describes this as 'Missing physician referring number': a consultation needs a written request from the referring physician or nurse practitioner, and their number belongs on the claim (GP16).
Related codes: W035, W032, W033, C036, A036
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, General Surgery (03), page A108.
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