A36 - Claimed by other practitioner



Another physician has claimed this consultation code.


When receiving "A36" rejection in the RA (payment report), you will need to bill a lower paying code (e.g., if originally billed a Consultation, then resubmit with a Medical Specific Assessment).  Alternatively, if the patient is seen for a second time with a clearly defined unrelated diagnosis, consider billing the same service code again, but with the different diagnosis code.  Refer to the Schedule of Benefits section GP12 for more details.

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