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W562
W562 – Admission assessment - Type 1
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
W562 is a Type 1 admission assessment for a paediatric patient admitted to a non-emergency long-term care in-patient service. This service is defined as a general assessment rendered to a patient on admission ().
A general assessment requires a full history (the elements of which must include a history of the presenting complaint, family medical history, past medical history, social history, and a functional inquiry into all body parts and systems), and, except for breast, genital or rectal examination where not medically indicated or refused, an examination of all body parts and systems, and may include a detailed examination of one or more parts or systems ().
Applicable settings include chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in hospitals, excluding designated palliative care beds ().
All insured services must be documented in appropriate records establishing that an insured service was provided, the service claimed is the service rendered, and the service was medically necessary ().
In surgical cases requiring medical direction, standard in-hospital medical fees are to be claimed in addition to the surgical fee. This includes all operations on babies under one year of age, and all other older children who require medical supervision.
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