What is OHIP billing code W154?

W154 is "General re-assessment of patient in nursing home", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W154 pay?

The current OHIP fee for W154 is $20.60, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill W154 to OHIP?

W154 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W154 claims against the Schedule of Benefits rules before submission.

What codes are related to W154?

Codes related to W154 in the Schedule of Benefits include W010, W259, W004.

All codes

W154

W154 – General re-assessment of patient in nursing home

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

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Levels of this visit

The W15x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W154 General re-assessment of patient in nursing home(this code)
A general re-assessment of a patient in a nursing home as defined by the Nursing Homes Act.
$20.60

Consultations

W156 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$110.15
W155 Consultation
A consultation provided by a specialist in Endocrinology & Metabolism (15) for a patient in a non-emergency long-term care (LTC) setting.
$172.95
W150 Comprehensive endocrinology consultation
A comprehensive endocrinology consultation provided by a specialist in Endocrinology & Metabolism for a patient in a non-emergency, long-term care setting.
$342.25

A general re-assessment of a patient in a nursing home as defined by the Nursing Homes Act. Per , a general re-assessment includes all the services listed for a general assessment, with the exception of the patient's history, which need not include all the details already obtained in the original assessment. This 'W' prefix code signifies a non-emergency service provided in a long-term care institution setting (, ). The service includes all common (, ) and specific () elements of an assessment.

W010 W259 W004

May only be claimed 6 months after Periodic health visit (as per the Nursing Homes Act).

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