Billing code
W760A — Complex Endocrine Neoplastic Disease Assessment - Subject To The Same Conditions As A760
LTC complex endocrine tumour assessment
Bill for assessing a long-term care resident with a complex thyroid, parathyroid, pituitary or adrenal neoplasm needing ongoing endocrinologist care.
Watch for: Limited to 6 per patient per 12 months; not for uncomplicated endocrine disorders, and E078 isn't payable with it.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $102.95 | $0.00 | $0.00 | $0.00 |
- Code
- W760A
- Description
- Complex Endocrine Neoplastic Disease Assessment - Subject To The Same Conditions As A760
- 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
Assessment of a long-term care resident with a complex thyroid, parathyroid, pituitary or adrenal neoplasm that needs ongoing endocrinologist care.
What it covers
A complex endocrine neoplastic disease assessment is for thyroid, parathyroid, pituitary or adrenal neoplasms whose complexity needs ongoing management by an endocrinologist (A98).
W760 is the long-term care version and has the same conditions as A760 (A103). 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
- Must include the elements of a medical specific re-assessment, or it pays a lesser assessment fee (A98).
- Limited to 6 per patient per physician per 12 months, and 12 per 24 consecutive months; excess claims pay a lesser assessment fee (A98).
- Not for evaluating or managing uncomplicated endocrine disorders (A98).
- E078 chronic disease premium is not payable with it (A98).
- Detention (K001) is only payable after 60 minutes (GP30).
- Not on the virtual care list, so not payable by video or phone (Appendix J).
Related codes: A760, C760, W155, W156
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Endocrinology & Metabolism (15), page A103 (conditions on A98).
APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing