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W463 – Nursing home or home for the aged - first 2 subsequent visits

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

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A subsequent visit is a routine assessment following a patient's admission to a long-term care institution. W463 is specifically for the first two subsequent visits per patient per month in a nursing home or home for the aged, rendered by an Infectious Disease specialist. As per , a subsequent visit is any routine assessment following admission. This service includes the specific elements of an assessment as defined in , which involves a direct physical encounter with the patient, taking a history, performing an examination, and providing advice. See ` for general rules on subsequent visits in long-term care institutions.
As an assessment, a direct physical encounter with the patient including taking a patient history and performing a physical examination is required, as outlined in `.
W468W972W121W010W124

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

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