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W058
W058 – Nursing home or home for the aged - additional subsequent visits
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
An additional subsequent visit for a patient in a nursing home or home for the aged, claimed after the initial two monthly visits (e.g., W053). As per , a subsequent visit is any routine assessment following the patient's admission to a long-term care institution. Visits for acute intercurrent illness should be claimed using W121.
All insured services must be documented in appropriate records to establish that the service was provided, medically necessary, and matches the service claimed. See for details.
Usage limits
[3, "month", "per_patient", "Maximum of 3 additional subsequent visits per patient per month. These are payable after the first 2 subsequent visits per month have been provided (e.g., W053)."]
See General Preamble for rules regarding subsequent visits in long-term care institutions.
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