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W138 – Nursing home or home for the aged - subsequent visits

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

This service is a routine subsequent visit rendered by a specialist in Internal Medicine (13) to a patient in a nursing home or home for the aged. These visits are limited to a maximum of 3 per patient per month and are intended for use after the first two subsequent visits (W133) have been rendered in the same calendar month. Per , a subsequent visit is any routine assessment following admission. Visits for acute intercurrent illness should be claimed using W121. If this service is rendered in conjunction with a special visit (e.g., an emergency), it must be claimed using the appropriate 'A' prefix assessment and special visit premiums. This service is included in the monthly management fee W010 if claimed for the same month.
In addition to standard medical record-keeping, when a physician is already in the institution and is asked to assess one of his/her own in-patients, the subsequent visit listings ('W' prefix) apply.

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