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W232
W232 – Admission assessment - Type 1
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A Type 1 admission assessment applicable to specialists in Internal and Occupational Medicine (13) for patients in a non-emergency long-term care setting. A Type 1 admission assessment is defined as a general assessment rendered to a patient on admission (). The requirements of a general assessment include a full history and a comprehensive physical examination of all body systems as detailed on . This service is applicable to patients in:
• chronic care hospitals
• convalescent hospitals
• nursing homes
• homes for the aged
• designated chronic or convalescent care beds in hospitals
This service excludes patients in designated palliative care beds. For emergency calls and other special visits to these in-patients, physicians should use the General Listings ('A' prefix codes) and applicable Special Visit Premiums.
As this is a Type 1 Admission Assessment, it is defined as a general assessment. The requirements for a general assessment, outlined on , must be met in the patient's medical record. This includes:
• A full history (presenting complaint, family medical history, past medical history, social history, and functional inquiry into all body parts and systems).
• An examination of all body parts and systems (except for breast, genital or rectal examination where not medically indicated or refused).
This code is listed under NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES. For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see to .
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