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W842
W842 – Admission assessment - Type 1
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A Type 1 admission assessment is a general assessment rendered to a patient on admission to a non-emergency long-term care setting. As per and , this service applies to patients in chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in hospitals.
A general assessment, as defined in , requires:
• A full history (including history of the presenting complaint, family medical history, past medical history, social history, and a functional inquiry into all body parts and systems).
• An examination of all body parts and systems (except for breast, genital or rectal examination where not medically indicated or refused).
• It may include a detailed examination of one or more parts or systems.
A general assessment requires documentation of a full history (presenting complaint, family, past, social, functional inquiry) and a full systems examination.
Usage limits
[1, "12_months", "per_patient_per_physician", "This service is a general assessment and is subject to the limits for general assessments. The limit is one per patient per physician per 12 month period, with exceptions for a second assessment with a clearly different diagnosis or a hospital admission assessment after 90 days. Assessments in excess of this limit will be adjusted to a lesser assessment fee."]
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