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W121 – Additional visits due to intercurrent illness

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

A visit for an acute intercurrent illness in a Long-Term Care Institution (chronic care hospital, convalescent hospital, nursing home, home for the aged, or designated chronic/convalescent care bed). It is used for visits other than special visits. Claims for W121 are payable for visits for acute intercurrent illness whenever rendered and are not dependent on whether the monthly limit on the number of subsequent visits has been reached. When an acute intercurrent illness requires a special visit, claims must be submitted using the appropriate 'A' prefix assessment code and the corresponding special visit premium. This service is included in the W010 monthly management fee unless it is the fifth or subsequent 'W' prefix visit in a calendar month by the MRP.

Submit claims for acute intercurrent illnesses requiring visits other than special visits using W121.

When acute intercurrent illness requires a special visit, submit claims using the appropriate fees under General Listings ('A' prefix) and premiums.

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