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W102
W102 – Admission assessment - Type 1
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A Type 1 admission assessment is defined as a general assessment rendered to a patient on admission to a long-term care facility, such as a chronic care hospital, convalescent hospital, nursing home, or home for the aged. It includes all the specific elements of a general assessment as described in the Schedule, including a full history and comprehensive physical examination. If the physician has previously rendered a consultation, general assessment, or general re-assessment of the patient prior to admission, the amount payable for this service will be adjusted to a lesser fee. This service is also a component of the W010 Monthly Management fee.
A general assessment requires documentation of a full history (the elements of which must include a history of the presenting complaint, family medical history, past medical history, social history, and a functional inquiry into all body parts and systems) and, except for breast, genital or rectal examination where not medically indicated or refused, an examination of all body parts and systems.
These services apply to patients in chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged and designated chronic or convalescent care beds in hospitals other than patients in designated palliative care beds - “W” prefix services.
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