What is OHIP billing code W074?

W074 is "General reassessment of patient in nursing home", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W074 pay?

The current OHIP fee for W074 is $20.60, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill W074 to OHIP?

W074 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W074 claims against the Schedule of Benefits rules before submission.

What codes are related to W074?

Codes related to W074 in the Schedule of Benefits include W279.

All codes

W074

W074 – General reassessment of patient in nursing home

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

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Levels of this visit

The W07x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W074 General reassessment of patient in nursing home(this code)
A general reassessment of a patient in a nursing home, performed according to the requirements of the Nursing Homes Act.
$20.60

Consultations

W076 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$113.35
W075 Consultation
This service is a consultation for a patient in a non-emergency, long-term care in-patient setting.
$249.90

A general reassessment of a patient in a nursing home, performed according to the requirements of the Nursing Homes Act. As a general re-assessment, it includes all the services listed for a general assessment, with the exception that the patient's history need not include all the details already obtained in the original assessment (see ). This service is intended for non-emergency, inpatient care in long-term care settings. According to the note on , it may only be claimed 6 months after a Periodic health visit has been performed.

The service must include all the required elements of a general assessment as per and , including a comprehensive history (though details already obtained may be omitted) and an examination of all body parts and systems (except where not medically indicated or refused).

W279

*May only be claimed 6 months after Periodic health visit (as per the Nursing Homes Act)

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