W182 – First 4 subsequent visits per patient per month - chronic care or convalescent hospital
OHIP Neurology Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A routine assessment by a neurologist for a patient in a chronic care or convalescent hospital, following the admission assessment. This fee applies to the first four subsequent visits per patient per month. As defined in , a subsequent visit is any routine assessment in hospital following the hospital admission assessment. For general rules on subsequent visits in long-term care, see . Visits for acute intercurrent illness should be claimed using W121.
When to Use
- Use W182 for routine follow-up assessments of a chronic or convalescent patient when the visit does not meet the criteria for an acute intercurrent illness.
- Use this code for the first four monthly visits in a chronic care facility where the physician is not the designated MRP claiming the monthly management fee W010.
Common Pitfalls
- Billing W182 for an acute intercurrent illness, which should instead be claimed under W121 to ensure appropriate compensation for the increased complexity.
- Attempting to claim W182 in the same month as W010, which will result in an automatic rejection as these are mutually exclusive.
- Adding Special Visit Premiums to W182, which is strictly prohibited as 'W' prefix codes are ineligible for these additions.
Billing Tips
- Track your monthly visit count closely, as W182 is strictly limited to the first four visits; subsequent visits beyond this threshold must be billed under the appropriate alternative code such as W982.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Hospital and Institutional Consultations and Assessments
See General Preamble for rules on subsequent visits in long-term care settings.
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