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W161
W161 – Chronic care or convalescent hospital - additional subsequent visits
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
An additional subsequent visit for a patient in a chronic care or convalescent hospital. As defined in , this is a routine assessment following the patient's admission. This service is for visits that occur after the first four subsequent visits in a month have been provided (claimed as W162). A maximum of 6 total routine subsequent visits are payable per patient per month. This service includes all the common and specific elements of an assessment as defined in the Schedule of Benefits (see , ). Visits for acute intercurrent illness should be claimed as W121 and are not subject to this monthly limit.
All insured services must be documented in appropriate medical records, establishing that an insured service was provided, the service claimed is the service rendered, and the service was medically necessary.
*May only be claimed 6 months after Periodic health visit (as per the Nursing Homes Act).
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