E089

Periodic health visit: when rendered to a cisgender female or a transgender, nonbinary, gender fluid or agender patient, to K131 and K132

Fee

ComponentValue
Fee basis20%
Source listing ; PDF p. 13220%
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 132 / A4

- when rendered to a cisgender female or a transgender, nonbinary, gender fluid or agender patient, to K131 and K132................................................................... add 20%
Passages mentioning E089

PDF page 133 / A5

CONSULTATIONS AND VISITS
 FAMILY PRACTICE & PRACTICE IN GENERAL (00)
          Payment rules:
          1.For definitions and payment rules - see General Preamble GP21.
          2.E089 is only eligible for payment when the patient’s gender identity is documented in the
            patient’s medical record.
     Emergency department equivalent - partial assessment
       An emergency department equivalent - partial assessment is an assessment rendered in an
       emergency department equivalent on a Saturday, Sunday or Holiday for the purpose of dealing
       with an emergency.
   A888 Emergency department equivalent - partial assessment ........              44.55
       [Commentary:
       For services described by emergency department equivalent - partial assessment, the only fee
       code payable is A888.]
          Payment rules:
          1.Hypnotherapy or counselling rendered to the same patient by the same physician on the
            same day as A888 are not eligible for payment.
          2.No premiums are payable for a service rendered in an emergency department equivalent.
Fee master record

Master, record 927. Record Layout PDF, page 1.

E08920260401999999990000000010000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00000000100 / 0.01
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

This is an add-on premium for a periodic health visit, used with K131 and K132, when the service is provided to a cisgender female or to a transgender, nonbinary, gender fluid or agender patient. It is listed under Consultations and Visits, Family Practice and Practice in General.

Watch out for

Only eligible for payment when the patient's gender identity is documented in the patient's medical record.

Related codes

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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