All codes
W061
W061 – Additional subsequent visits for chronic care or convalescent hospital in-patients
OHIP Neurology Code — CONSULTATIONS AND VISITS · Schedule of Benefits
An additional subsequent visit for a patient in a chronic care or convalescent hospital, provided by a specialist in Orthopaedic Surgery (06). A subsequent visit is a routine assessment following the patient's admission to a long-term care institution. This service is applicable for visits after the initial four visits in a calendar month (billed as W062) have been rendered. For emergency calls or other special visits, General Listings ('A' prefix) and premiums should be used instead. Refer to for general rules on subsequent visits.
When to Use
- Use W061 for the fifth or subsequent routine visit to a chronic care or convalescent patient within a single calendar month after W062 has been exhausted.
- Use this code for ongoing orthopaedic monitoring of a patient in a chronic care facility when no monthly management fee (W010) is being claimed by the MRP.
Common Pitfalls
- Billing W061 in the same calendar month as W010 will result in an automatic rejection, as the monthly management fee is intended to cover all routine care.
- Attempting to append special visit premiums (e.g., travel or after-hours) to W061 is prohibited; these must be billed using 'A' prefix codes instead.
- Exceeding the four-visit limit for W062 before switching to W061 will lead to claim adjustments or rejections.
Billing Tips
- Track your monthly visit count for each chronic care patient to ensure you transition from W062 to W061 precisely on the fifth visit.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.