All codes
W259
W259 – Periodic health visit
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A periodic health visit performed on a patient in a long-term care facility (e.g., chronic care hospital, nursing home) who presents with no apparent acute physical or mental illness. As defined in , the service must include an intermediate assessment, a level 2 paediatric assessment or a partial assessment focusing on age and gender appropriate history, physical examination, health screening, and relevant counselling.
All insured services must be documented in appropriate records. The Act requires that the record establish that:
1. an insured service was provided;
2. the service for which the account is submitted is the service that was rendered; and
3. the service was medically necessary.
Age
Performed on a patient after their second birthday.
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