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W224 – Nursing home or home for the aged - first 2 subsequent visits

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

A subsequent visit is a routine assessment by a Genetics specialist for a patient in a nursing home or home for the aged, following the patient's admission. The service includes all the specific elements of an assessment as outlined in the Schedule of Benefits (see ). This code specifically covers the first two subsequent visits rendered to a patient in a calendar month. As per , these services apply to non-emergency in-patient services in long-term care institutions. For additional visits due to an acute intercurrent illness, W121 should be used.
The medical record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary, as per .
As per , all assessments must include a direct physical encounter with the patient, history taking, physical examination, and documentation of advice and arrangements for follow-up care.

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