All codes
W051
W051 – Additional subsequent visits (chronic care or convalescent hospital)
OHIP Neurology Code — CONSULTATIONS AND VISITS · Schedule of Benefits
W051 is an additional subsequent visit, per visit, for a patient in a chronic care or convalescent hospital, typically claimed by physicians in Community Medicine (specialty 05). As defined in the General Preamble (, ), a subsequent visit is any routine assessment following a patient's admission to a long-term care institution. This code applies to the 5th and 6th subsequent visits per patient per month, following the first four visits claimed under W052. A maximum of six total subsequent visits (W052 and W051 combined) are payable per patient per month.
When to Use
- Use W051 for the 5th and 6th subsequent visits in a calendar month for a chronic care patient after you have already billed four instances of W052.
- Claim W051 when a patient requires additional clinical oversight beyond the standard four monthly visits covered by W052 due to acute changes in their chronic condition.
Common Pitfalls
- Billing W051 before exhausting the four-visit limit of W052 will result in an automatic rejection for exceeding service frequency.
- Claiming more than two W051 services per month will trigger an audit flag, as the combined total of W052 and W051 is strictly capped at six visits per patient per month.
Billing Tips
- Track your monthly visit counts for each chronic care patient to ensure you switch from W052 to W051 precisely on the 5th visit to maintain accurate billing sequences.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.