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W104
W104 – Admission assessment - Type 2
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A Type 2 admission assessment occurs when the admitting physician makes an initial visit to assess the condition of the patient following admission to a long-term care institution and has previously rendered a consultation, general assessment or general re-assessment of the patient prior to admission. 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 designated palliative care beds). This service is considered a component of the monthly management fee (W010) and is not separately payable if W010 is claimed in the same calendar month.
The service must be documented in the patient's medical record, including a direct physical encounter, patient history, and physical examination, as required for all assessments.
'W' prefix codes apply to non-emergency in-patient services for patients in long-term care institutions, which includes 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.
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