W178 – Not found
OHIP Neurology Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit is a routine assessment following a patient's admission to a nursing home or home for the aged, rendered by a specialist in Vascular Surgery. This service is limited to a maximum of three per patient per month, and is claimed for subsequent visits after the first two in a month have been claimed using W173. As an assessment, this service includes the specific elements outlined in the Schedule of Benefits (): a direct physical encounter with the patient, history taking, physical examination, performing non-listed procedures, arranging related care, and providing advice and information to the patient or their representative. It also includes all common elements applicable to insured services (, ).
When to Use
- Use W178 for the third or subsequent routine nursing home visit by a vascular surgeon within a single calendar month.
- Claim this code only after the first two visits of the month have been billed using W173.
Common Pitfalls
- Billing W178 for a visit that occurs on the same day as a surgical procedure, which is generally considered included in the global surgical fee.
- Attempting to claim W178 in conjunction with a Special Visit Premium, which will result in an automatic rejection as these are restricted.
Billing Tips
- Ensure your billing software tracks the monthly count of W173 and W178 to prevent exceeding the three-visit limit per patient per month.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.