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W409
W409 – Periodic health visit
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A periodic health visit is performed on a patient, after their second birthday, who presents and reveals no apparent acute physical or mental illness. 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. This service is specifically for patients in Non-Emergency Long-Term Care settings such as Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, and designated chronic or convalescent care beds in hospitals.
As an assessment, this service must include a direct physical encounter with the patient including taking a patient history and performing a physical examination, as per the specific elements of assessments on .
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.
OHIP diagnostic codes: No diagnostic code is required unless otherwise specifically listed.
Age
Patient must be after their second birthday.
Applies to Non-Emergency Long-Term Care In-Patient Services, which includes Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or convalescent care beds in hospitals and nursing homes or homes for the aged, other than patients in designated palliative care beds.
For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see to .
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