W183 – Subsequent visits - first 2 per patient per month - Nursing home or home for the aged
OHIP Neurology Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit performed by a specialist in Neurology (18) for a patient in a nursing home or home for the aged. This service constitutes a routine assessment following the patient's admission to a long-term care institution, as defined on page . This code is for the first two such visits per patient, per physician, per month. This service is a component of the monthly management fee W010 and is not payable if W010 is claimed. For emergency calls or other special visits, A prefix general listing codes and the appropriate special visit premiums must be used instead.
When to Use
- Use W183 for routine follow-up neurological assessments in a long-term care facility when you are not claiming the monthly management fee W010.
- Use this code for the first or second subsequent visit of the calendar month for a patient residing in a nursing home or home for the aged.
Common Pitfalls
- Claiming W183 in the same month as W010 will result in an automatic rejection as W183 is considered a component of the management fee.
- Attempting to attach a special visit premium to W183 is invalid; you must use an 'A' prefix code if the visit meets the criteria for a special visit premium.
Billing Tips
- If you anticipate seeing a patient more than twice in a month, prioritize claiming W010 to cover all subsequent visits rather than using W183 for the first two.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Assessments, Hospital and Institutional Consultations and Assessments
For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .
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