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W078 – Nursing home or home for the aged - subsequent visits

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

A subsequent visit is any routine assessment following the patient's admission to a long-term care institution (see ). W078 is specifically for subsequent visits provided by a Geriatrics specialist to a patient in a nursing home or home for the aged. This service is payable for the third, fourth, and fifth subsequent visits in a single calendar month for the same patient by the same physician. The first two subsequent visits in the month must be claimed using W073. This service is a component of the monthly management fee (W010) and is not payable in the same month that W010 is claimed. Visits for an acute intercurrent illness should be claimed as W121 and are not subject to the monthly visit limits. For emergency calls or other special visits, an 'A' prefix General Listing code and the appropriate special visit premium must be used.

See General Preamble for rules regarding 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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