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Billing code

W106A — LTC repeat consultation (family practice)

Long-term care repeat consultation

Bill for a repeat consultation on the same problem after another physician has cared for the long-term care patient in between.

Watch for: Needs a new written request; put the referrer's billing number on the claim.

Code

W106A

Description

LTC repeat consultation (family practice)

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Jun 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Repeat consultation for an LTC patient: same consultant, same problem, after another physician has cared for the patient in between.

What it covers

A repeat consultation is an additional consultation by the same consultant for the same presenting problem, after another physician has cared for the patient in the interval since the first consultation (GP19). W106 is the repeat consultation for long-term care in-patients (A19).

It has the same requirements as a consultation, including a new written request from the referring physician or nurse practitioner (GP19).

Billing rules

• Needs a new written, signed request (GP19, GP16).
• If the repeat consultation requirements aren't met, it is paid as an assessment (GP17, GP18).
• Repeat consultations don't count toward the consultation limits (GP18).
• Detention (K001) can start only after 60 minutes (GP30).
• FHO: a Schedule 2A code for enrolled LTC patients (Agreement p.86).

Common rejections

• ARF: 'Missing physician referring number': a consultation claim needs the referring physician's or nurse practitioner's billing number (GP16).

Related codes: W105, A006, C006, W911, W912

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), page A19; rules GP19.

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