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W184 – General re-assessment of patient in nursing home

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

Levels of this visit

The W18x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • W184 General re-assessment of patient in nursing home(this code)

    A general re-assessment includes all the services listed for a general assessment, with the exception of the patient's history, which need not include all the details already…

    $20.60

Consultations

  • W186 Repeat consultation

    A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…

    $125.50
  • W185 Consultation

    A consultation for a patient in a non-emergency long-term care setting, including Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, and designated…

    $225.55
  • W180 Special neurology consultation

    A special neurology consultation rendered by a neurologist for a non-emergency in-patient in a long-term care institution (Chronic Care Hospital, Convalescent Hospital, Nursing…

    $342.25
A general re-assessment includes all the services listed for a general assessment, with the exception of the patient's history, which need not include all the details already obtained in the original assessment. In addition to the - common elements of all insured services, all assessments include the following specific elements: • A direct physical encounter with the patient including taking a patient history and performing a physical examination. • Other inquiry (including taking a patient history), carried out to arrive at an opinion as to the nature of the patient's condition. • Performing any procedure(s) during the same encounter as the physical examination, unless the procedure(s) is(are) separately listed in the Schedule and an amount is payable for the procedure in conjunction with an assessment. • Making arrangements for any related assessments, procedures, or therapy, and/or interpreting results. • Making arrangements for follow-up care. • Discussion with, and providing advice and information, including prescribing therapy to the patient or the patient's representative. • When medically indicated, monitoring the condition of the patient and intervening, until the next insured service is provided. • Providing premises, equipment, supplies, and personnel for the specific elements of the service except for any aspect(s) that is (are) performed in a hospital or nursing home.

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