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Billing code

W254A — Endocrinology long-term care admission assessment – Type 2

LTC admission, endocrinology, Type 2

Bill for an endocrinologist's first visit after long-term care admission when you already did a consultation or general assessment beforehand.

Watch for: Only when you saw the patient before admission; otherwise bill Type 1 (W252).

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$0.00$20.60$0.00$0.00$0.00
Code
W254A
Description
Endocrinology long-term care admission assessment – Type 2
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

Initial visit by an endocrinologist after admission to long-term care, when you already did a consultation or general assessment before admission.

What it covers

A Type 2 admission assessment is the admitting physician's initial visit to assess the patient after admission, when the physician did a consultation, general assessment or general re-assessment of the patient before admission (GP49).

W-prefix codes are for non-emergency care in chronic care and convalescent hospitals, nursing homes, homes for the aged and designated chronic or convalescent beds, but not designated palliative care beds (A103, GP49).

Billing rules

  • Only when you rendered a consultation, general assessment or general re-assessment before admission; otherwise the admission assessment is Type 1 (W252) (GP49).
  • Use Type 3 (W257) for a re-admission after a stay of at least 3 days in another institution (GP49).
  • Not on the virtual care list, so not payable by video or phone (Appendix J).

Related codes: W252, W257, W155, W153

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Endocrinology & Metabolism (15), page A103; rules GP49.

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