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W972
W972 – Nursing home or home for the aged - palliative care
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit is any routine assessment following the patient's admission to a long-term care institution. This service is for palliative care, defined as care provided to a terminally ill patient in the final year of life where the decision has been made that there will be no aggressive treatment of the underlying disease and care is directed to maintaining the comfort of the patient until death occurs. This service includes all common and specific elements of an assessment as defined in the Schedule of Benefits on pages -.
All insured services must be documented in appropriate records that establish the service was provided, the service claimed is the service that was rendered, and the service was medically necessary, as per .
Applies to patients in chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged and designated chronic or convalescent care beds in hospitals other than patients in designated palliative care beds.
When acute intercurrent illness requires a special visit, submit claims using the appropriate fees under General Listings ('A' prefix) and premiums.
Submit claims for acute intercurrent illnesses requiring visits other than special visits using W121.
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