What is OHIP billing code W464?

W464 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 W464 pay?

The current OHIP fee for W464 is $20.60, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill W464 to OHIP?

W464 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W464 claims against the Schedule of Benefits rules before submission.

What codes are related to W464?

Codes related to W464 in the Schedule of Benefits include W004, W010, W109, W292, W294, W297.

All codes

W464

W464 – General re-assessment of patient in nursing home

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

Ask a question

Levels of this visit

The W46x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W464 General re-assessment of patient in nursing home(this code)
A general re-assessment of a patient in a nursing home, as required by the Nursing Homes Act.
$20.60

Consultations

W466 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem.
$124.00
W465 Consultation
This service is a consultation rendered by a specialist in Infectious Disease (46) for a patient in a non-emergency long-term care setting, such as a Chronic Care Hospital…
$205.90
W460 Comprehensive infectious disease consultation
Comprehensive infectious disease consultation subject to the same conditions as A460
$342.25

A general re-assessment of a patient in a nursing home, as required by the Nursing Homes Act. A general re-assessment includes all the services of a general assessment, with the exception of the patient's history, which need not include all the details already obtained in the original assessment (). This service applies to patients in non-emergency, long-term care in-patient settings, including chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in hospitals, but excludes patients in designated palliative care beds (, ).

Must be performed as per the Nursing Homes Act.

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

W004 W010 W109 W292 W294 W297

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

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in