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W001 – Chronic care or convalescent hospital - additional subsequent visits

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

Chronic care or convalescent hospital - additional subsequent visits (maximum 4 per patient per month), per visit. Claimed after the first 4 subsequent visits per patient per month (W002). See .
All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary. ()
Keeping and maintaining appropriate medical records is a common element of all insured services. ()
Usage limits
Maximum 4 per patient per month

The 'W' prefix codes are for non-emergency in-patient services in facilities such as chronic care hospitals, convalescent hospitals, nursing homes, and homes for the aged. (, )

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