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W313
W313 – Nursing home or home for the aged - first 2 subsequent visits
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
W313 is for the first two subsequent visits per patient per month in a nursing home or home for the aged. A subsequent visit, as defined in , is any routine assessment following the patient's admission to a long-term care institution. As an assessment, it requires a direct physical encounter with the patient, including a history and physical examination appropriate to the patient's condition ().
All insured services must be documented in the patient's medical record to establish that the service was provided, is the service for which the account is submitted, and was medically necessary ().
As an assessment, this service requires documentation of a direct physical encounter with the patient, including a patient history and physical examination appropriate for a routine follow-up visit ().
Subsequent visits are subject to the limits described with each individual service as found under the applicable specialty ().
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