What is OHIP billing code W314?

W314 is "General re-assessment of patient in nursing home", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W314 pay?

The current OHIP fee for W314 is $20.60, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill W314 to OHIP?

W314 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W314 claims against the Schedule of Benefits rules before submission.

What codes are related to W314?

Codes related to W314 in the Schedule of Benefits include W419, W004.

All codes

W314

W314 – General re-assessment of patient in nursing home

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

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Levels of this visit

The W31x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W314 General re-assessment of patient in nursing home(this code)
A general re-assessment of a patient in a nursing home includes all the services of a general assessment, except for the patient's history, which need not include all details from…
$20.60

Consultations

W310 Limited consultation
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than a full consultation.
$106.60

A general re-assessment of a patient in a nursing home includes all the services of a general assessment, except for the patient's history, which need not include all details from the original assessment. As per the definition of a general assessment on , this service requires a full history of the presenting complaint and, except where not medically indicated or refused, an examination of all body parts and systems. It also includes all common and specific elements of an assessment as outlined in the Schedule of Benefits (-). This service is intended for non-emergency in-patient services in a long-term care setting.

A record of the patient's history of the presenting complaint.

A record of the physical examination of one or more systems.

The medical record must establish that an insured service was provided, the service claimed is the service that was rendered, and the service was medically necessary.

W419 W004

*May only be claimed 6 months after Periodic health visit (as per the Nursing Homes Act).

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