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W004
W004 – General re-assessment of patient in nursing home
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A general re-assessment rendered to a patient in a long-term care institution (chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, etc.), identified by the 'W' prefix as per .
Definition/Required elements of service:
As defined in , a general re-assessment includes all the services listed for a general assessment, with the exception of the patient's history, which need not include all the details already obtained in the original assessment.
A general assessment requires a full history (presenting complaint, family, past, social history, and a functional inquiry into all body parts and systems) and an examination of all body parts and systems, except where not medically indicated or refused (). This service also includes the specific elements of assessments outlined in , such as a direct physical encounter, making arrangements for related care, and providing advice to the patient.
This service is a component of the monthly management fee W010 and is not separately payable in a month where W010 is billed ().
A direct physical encounter with the patient including taking a patient history and performing a physical examination ().
A general re-assessment includes all the services listed for a general assessment, with the exception of the patient’s history, which need not include all the details already obtained in the original assessment ().
Included as a component service of W010 - Monthly Management of a Nursing Home or Home for the Aged Patient.
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