All codes
W107
W107 – Type 3 admission assessment
OHIP Neurology Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A Type 3 admission assessment is a general re-assessment of a patient who is re-admitted to the long-term care institution after a minimum 3 day stay in another institution.
When to Use
- Use W107 when a patient returns to your long-term care facility after an acute care hospital stay lasting at least 72 hours.
- Use this code for the formal re-admission assessment when the patient does not qualify for a full W102 admission assessment due to the nature of their return.
Common Pitfalls
- Claiming W107 in the same calendar month as W010 will result in an automatic rejection, as W107 is bundled into the monthly management fee.
- Billing W107 for patients returning from a hospital stay of less than 3 days is an audit risk; these should be billed as routine visits.
Billing Tips
- If you perform a W107, ensure you do not bill W010 for that specific month, or you must adjust your billing to account for the inclusion of the assessment in the monthly fee.
Provider Fee$30.70
Effective: June 1, 2025
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
Assessment
Code Classes
Hospital and Institutional Consultations and Assessments, Assessments
The 'W' prefix 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.
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