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W181 – Chronic care or convalescent hospital - additional subsequent visits

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

W181 is an additional subsequent visit for a patient under the care of a neurologist in a chronic care or convalescent hospital. Per , a subsequent visit is any routine assessment following the patient's admission to a long-term care institution. This code is payable for visits 5 through 10 per patient per month, with a maximum of six (6) services using this code per month. The first four (4) visits should be claimed using W182. Visits for acute intercurrent illness should be claimed using W121 and are not subject to these monthly limits. For emergency calls and other special visits to in-patients, use General Listings ('A' prefix codes) and Premiums.
As with all assessments, a direct physical encounter with the patient is required, including taking a history and performing a physical examination. The service must be documented in the patient's medical record.

This service is for subsequent visits in a chronic care or convalescent hospital.

See for general rules on subsequent visits in long-term care institutions.

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