W032 – Subsequent visits - chronic care or convalescent hospital - first 4 per month
OHIP Neurology Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit rendered by a General Surgeon, which is a routine assessment following a patient's admission to a long-term care institution. This service applies to patients in chronic care hospitals, convalescent hospitals, and designated chronic or convalescent care beds in hospitals, but excludes patients in designated palliative care beds. It includes the specific elements of an assessment as defined in the General Preamble (). This fee is for the first 4 subsequent visits per patient per month. For emergency calls, use General Listings ('A' prefix codes). For acute intercurrent illness, use W121. For additional visits beyond the fourth, use W031.
When to Use
- Use W032 for routine, non-urgent follow-up assessments of a patient admitted to a chronic or convalescent care bed for the first four visits of the calendar month.
- Use this code when managing stable chronic conditions or post-operative recovery in a convalescent facility where no acute intercurrent illness has occurred.
Common Pitfalls
- Billing W032 for patients in palliative care beds, which is explicitly excluded; use appropriate palliative care codes instead.
- Claiming W032 when the physician is the MRP claiming the monthly management fee W010, as the visit is considered bundled and non-payable.
- Submitting W032 for visits triggered by an acute change in status, which should instead be billed as W121.
Billing Tips
- Track your monthly visit count per patient carefully to ensure you switch to W031 after the fourth visit to avoid automatic rejections.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Hospital and Institutional Consultations and Assessments
See General Preamble for rules on subsequent visits in long-term care institutions.
For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .
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