Billing code
W305A — Obstetrics and gynaecology consultation – long-term care
LTC obstetrics and gynaecology consult
Bill for an obstetrician-gynaecologist's consultation on a non-emergency long-term care resident, at a written request.
Watch for: Put the referrer's number from the written request on the claim; only Obstetrics and Gynaecology specialists can bill it.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $134.25 | $0.00 | $0.00 | $0.00 |
- Code
- W305A
- Description
- Obstetrics and gynaecology consultation – long-term care
- 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
Obstetrics and gynaecology consultation for a long-term care resident or chronic/convalescent in-patient, on written request.
What it covers
W305 is a consultation by an obstetrician-gynaecologist for a non-emergency long-term care in-patient (A151). Long-term care in-patient services cover chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent beds, but not designated palliative care beds. Emergency calls and other special visits are billed from the General Listings (A prefix) with premiums (A151; GP49).
Marked *: includes, where indicated, biopsy of the cervix, collection of cervical cancer screening specimens and examination of trichomonas suspension (A151, note). The consultant performs a general, specific or medical specific assessment, reviews all relevant data and sends a written report to the referrer (and to the primary care provider when an NP referred) (GP16).
Billing rules
- Needs a written, signed request from a physician, nurse practitioner or (for an insured hospital dental procedure) dental surgeon, kept in the chart or common hospital/LTC record, naming the consultant or specialty, the referrer and billing number, and the patient and health number. Otherwise it pays as a lesser assessment (GP16).
- Same patient, same diagnosis: one consultation per two consecutive 12-month periods (a second is allowed only for a hospital in-patient or ED patient 12–24 months after the first). A clearly unrelated diagnosis: one every 12 months. Extra consultations pay as an assessment (GP17–GP18).
- A request obtained after the service has been provided doesn't support a consultation; bill the visit actually rendered (GP16 commentary).
- Specialist consultations and repeat consultations get an age premium for patients under 16: 30% under 30 days, 25% to 1 year, 20% to 2 years, 15% to 5 years, 10% to 16 years (GP64).
- Not on the Appendix J virtual care lists, so not payable as virtual care (AJ1–AJ2).
Common rejections
- ARF: 'Missing physician referring number': a consultation needs the referring provider's number from the written request (GP16).
- A4D: 'Invalid specialty for this service code': these codes are for Obstetrics and Gynaecology (20). Specialists must bill from their own specialty's listings (GP9).
Related codes: W306, C205, A205, C206, A206
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Obstetrics and Gynaecology (20), page A151.
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