W121

Additional visits due to intercurrent illness (see General Preamble GP49)

Fee

ComponentValue
Provider fee$40.05
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 147 / A19

Additional visits due to intercurrent illness (see General Preamble GP49) .....................................................per visit 40.05

PDF page 216 / A88

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05

PDF page 224 / A96

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05

PDF page 231 / A103

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05

PDF page 236 / A108

Additional visits due to intercurrent illness (see General Preamble GP49) .......................................per visit 40.05

PDF page 245 / A117

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05

PDF page 250 / A122

Additional visits due to intercurrent illness (see General Preamble GP49) .................................................... per visit 40.05

PDF page 256 / A128

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05

PDF page 259 / A131

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05

PDF page 263 / A135

Additional visits due to intercurrent illness (see General Preamble GP49) .................................................... per visit 40.05

PDF page 267 / A139

Additional visits due to intercurrent illness (see General Preamble GP49) .................................................... per visit 40.05

PDF page 273 / A145

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05

PDF page 293 / A165

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05

PDF page 307 / A179

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05

PDF page 337 / A209

Additional visits due to intercurrent illness (see General Preamble GP49)..................................................... per visit 40.05
Passages mentioning W121

PDF page 63 / GP49

Claims submission instructions:
  1. Submit claims for acute intercurrent illnesses requiring visits other than special visits using
     W121. When acute intercurrent illness requires a special visit, submit claims using the
     appropriate fees under General Listings (“A” prefix) and premiums.
          [Commentary:
          Claims for W121 are payable for visits for acute intercurrent illness whenever rendered. Such
          claims are not dependent on whether the monthly limit on the number of subsequent visits has
          been reached.]
    2. When a physician is already in the institution and is asked to assess one of his/her own in-
       patients, the subsequent visit listings (“W” prefix) apply. However, if he/she is already in the
       institution and asked to assess another physician’s patient on an emergency basis, submit
       claims using the General Listings (“A” prefix).

PDF page 65 / GP51

Definition/Required Elements of Service:
  Monthly Management of a Nursing Home or Home for the Aged Patient is the provision by the most
  responsible physician (MRP) of routine medical care, management and supervision of a patient in a
  nursing home or home for the aged for one calendar month. The service requires a minimum of two
  assessments of the patient each month, where these assessments constitute services described as
  "W" prefix assessments.
  The requirements above are subject to the exceptions as described in payment rule #8.
         [Commentary:
         As with all services described as assessments, direct physical encounter with the patient is
         required.]
  In addition to the common elements, this service includes the provision of the following services by
  any physician to the same patient during the month.
  A. Services described by subsequent visits (e.g. W003, W008).
  B. Services described by additional visits due to “intercurrent illness” (W121) except if the conditions
     described in Payment rule #7 are satisfied.
  C. Services described by palliative care subsequent visits (e.g. W872).
  D. Services described by admission assessments (e.g. W102, W104, W107).
  E. Services described by periodic health visit or general re-assessments (e.g. W109, W004).
  F. Services described by visit for pronouncement of death (W777) or certification of death (W771)
     except if the services are performed in conjunction with a special visit.
  G. Service described by anticoagulation supervision (G271).
  H. Completion of home care referral form and home care supervision (K070, K071, K072).
  I. Services described by the following diagnostic and therapeutic procedures – venipuncture (G489),
     injection (G372, G373), immunization (G538, G590, G849), collection of cervical cancer screening
     specimen(s) (G365, G394, E430, E431), intravenous (G379), and laboratory test codes (G001,
     G002, G481, G004, G005, G009, G010, G011, G012, G014).
  J. All medication reviews.
  K. All discussions with the staff of the institution related to the patient’s care.
  L. All telephone calls from the staff of the institution, patient, patient’s relative(s) or patient’s
     representative in respect of the patient between the hours of 0700 hours and 1700 hours Monday
     to Friday (excluding holidays).
  M.Ontario Drug Benefit Limited Use prescriptions/forms or Section 8 Ontario Drug Benefits Act
    requests.

PDF page 66 / GP52

Payment rules:
  1. Except as outlined in payment rule #8, this service is only eligible for payment once per patient
     per calendar month.
  2. This service is only eligible for payment to the MRP.
  3. When W010 is rendered, none of the services listed as a component of W010 and rendered to
     the patient by any physician during the month are eligible for payment.
  4. In the temporary absence of the patient’s MRP (e.g. while that physician is on vacation), W010
     remains payable to the patient’s MRP if the service is performed by another physician.
  5. In the event the MRP renders one "W" prefix assessment in a calendar month and the same
     physician has rendered W010 to that patient within the previous 11-month period, only that "W"
     prefix assessment in that month is eligible for payment.
  6. In the event the MRP renders two, three or four “W” prefix assessments in a calendar month
     and the same physician has rendered W010 to that patient within the previous 11-month period,
     only W010 is eligible for payment.
  7. In the event the MRP renders more than four “W” prefix assessments to the same patient in a
     month and the same physician has rendered W010 to that patient within the previous 11-month
     period, any subsequent visits for intercurrent illness rendered by the MRP to the same patient in
     excess of four in a month are payable as W121 in addition to payment of W010.
  8. Despite the definition set out above, the requirements of W010 are met when less than two "W"
     prefix assessments were rendered during the month and/or when the patient was not in the
     institution for a full calendar month if:
      a. a patient was newly admitted to the institution and an admission assessment was rendered;
         or
      b. in the event of the death of a patient while in the institution or within 48 hours of transfer to
         hospital.
  9. Age related premiums otherwise applicable to any component service of W010 are not eligible
     for payment in addition to W010.

PDF page 66 / GP52

Claims submission instructions:
  1. Claims for W010 may be submitted when the minimum required elements of the service have
     been rendered for the month.
      [Commentary:
         a.Payment for W010 is for management of the patient for the entire month for all the
           services listed as components of the W010 service, regardless of when the claim for
           W010 is submitted.
          b.When claiming W010, do not also submit claims for "W" prefix services listed as
            components of the W010 for the same month.]
  2. The admission date of the patient must be provided on the claim for W010 or the service is not
     eligible for payment.
      a. Submit claims for W121 which meet the requirements outlined in payment rule #7 using the
         manual review indicator.

PDF page 147 / A19

Subsequent visits (see General Preamble GP49)
                  Chronic care or convalescent hospital
               W002 - first 4 subsequent visits per patient per month .......per visit                             40.05
               W001 - additional subsequent visits (maximum 4 per patient per
                      month).....................................................................per visit         40.05
               W882 - palliative care (see General Preamble GP50) ........per visit                                40.05
                  Nursing home or home for the aged
               W003 - first 2 subsequent visits per patient per month .......per visit                             40.05
               W008 - additional subsequent visits (maximum 2 per patient per
                       month).....................................................................per visit        40.05
               W872 - palliative care (see General Preamble GP50) ........per visit                                40.05
               W121 Additional visits due to intercurrent illness (see General
                      Preamble GP49) .....................................................per visit                40.05
               W124 Subsequent visit – day of discharge ...........................per visit                       71.80

PDF page 184 / A56

CONSULTATIONS AND VISITS
FAMILY PRACTICE & PRACTICE IN GENERAL (00)
   Initial discussion with patient re: smoking cessation
     Initial discussion with patient re: smoking cessation is the service rendered to a patient who
     currently smokes tobacco by the primary care physician most responsible for their patient’s
     ongoing care, in accordance with the guidelines and subject to the conditions below.
 E079 Initial discussion with patient, to eligible services ............. add         15.95
     Payment rules:
     1.E079 is only eligible for payment when rendered in conjunction with one of the following
        services: A001, A003, A004, A005, A006, A007, A008, A905, K005, K007, K013, K017,
        K130, K131, K132, K133, P003, P004, P005, P008, W001, W002, W003, W004, W008,
        W010, W102, W104, W107, W109 or W121.
     2.E079 is limited to a maximum of one service per patient per 12 month period.
     Medical record requirements:
     The medical record for this service must document that an initial smoking cessation discussion
     has taken place, by either completion of a flow sheet or other documentation consistent with
     the most current guidelines of the “Clinical Tobacco Intervention” (CTI) program, or the service
     is not eligible for payment.
     [Commentary:
     1.Physicians may complete a flow sheet or alternatively document that an initial discussion
       consistent with the 5A's model of the CTI program has taken place.
     2.E079 is not eligible for payment for discussions related to cannabis smoking or discussions
       related to vaping, including vaping tobacco.]
   Smoking cessation follow-up visit
     Smoking cessation follow-up visit is the service rendered by a primary care physician in the 12
     months following E079 that is dedicated to a discussion of tobacco smoking cessation, in
     accordance with the guidelines and subject to the conditions below.
 K039 Smoking cessation follow-up visit ........................................... 39.25
     Payment rules:
     1.K039 is only eligible for payment when E079 is payable to the same physician in the
       preceding 12 month period.
     2.K039 is limited to a maximum of two services in the 12 months following E079.
     Medical record requirements:
     The medical record for this service must document that a follow-up visit regarding smoking
     cessation has taken place, by either completion of a flow sheet or other documentation
     consistent with the most current guidelines of the “Clinical Tobacco Intervention” (CTI)
     program, or the service is not eligible for payment.
     [Commentary:
     1.Physicians may complete a flow sheet or alternatively document that an initial discussion
       consistent with the 5A's model of the CTI program has taken place.
     2.K039 is not eligible for payment for discussions related to cannabis smoking or discussions
       related to vaping, including vaping tobacco.]

PDF page 216 / A88

CONSULTATIONS AND VISITS
COMMUNITY MEDICINE (05)
   Admission assessment
 W402 - Type 1.................................................................................                 69.35
 W404 - Type 2.................................................................................                 20.60
 W407 - Type 3.................................................................................                 30.70
 W409 Periodic health visit.................................................................                    65.05
 W054 General re-assessment of patient in nursing home (as per the
        Nursing Homes Act)* ..........................................................                          20.60
       Note:
       *May only be claimed 6 months after Periodic health visit (as per the Nursing Homes Act).
   Subsequent visits (see General Preamble GP49)
    Chronic care or convalescent hospital
 W052 - first 4 subsequent visits per patient per month ....... per visit                                       40.05
 W051 - additional subsequent visits (maximum 6 per patient per
        month) .................................................................... per visit                   40.05
 W982 - palliative care (see General Preamble GP50) ........ per visit                                          40.05
    Nursing home or home for the aged
 W053 - first 2 subsequent visits per patient per month ....... per visit                                       40.05
 W058 - additional subsequent visits (maximum 3 per patient per
         month) ................................................................... per visit                   40.05
 W972 - palliative care (see General Preamble GP50) ........ per visit                                          40.05
 W121 Additional visits due to intercurrent illness (see General
        Preamble GP49)..................................................... per visit                           40.05
 W124 Subsequent visit – day of discharge (see A20 for terms and
        conditions) .............................................................. per visit                    71.80

PDF page 224 / A96

CONSULTATIONS AND VISITS
DERMATOLOGY (02)
 W025 Consultation............................................................................              158.15
 W026 Repeat consultation ................................................................                   47.75
   Subsequent visits (see General Preamble GP49)
    Chronic care or convalescent hospital
 W022 - first 4 subsequent visits per patient per month....... per visit                                      40.05
 W021 - additional subsequent visits (maximum 6 per patient per
        month) .................................................................... per visit                 40.05
 W982 - palliative care (see General Preamble GP50)........ per visit                                         40.05
    Nursing home or home for the aged
 W023 - first 2 subsequent visits per patient per month....... per visit                                      40.05
 W028 - additional subsequent visits (maximum 3 per patient per
        month) ................................................................... per visit                  40.05
 W972 - palliative care (see General Preamble GP50)........ per visit                                         40.05
 W121 Additional visits due to intercurrent illness (see General
        Preamble GP49)..................................................... per visit                         40.05
 W124 Subsequent visit – day of discharge (see A20 for terms and
        conditions ............................................................... per visit                  71.80

PDF page 231 / A103

Subsequent visits (see General Preamble GP49)
                  Chronic care or convalescent hospital
               W152 - first 4 subsequent visits per patient per month ....... per visit                                40.05
               W151 - additional subsequent visits (maximum of 6 per patient per
                      month) .................................................................... per visit            40.05
               W982 - palliative care (see General Preamble GP50) ....... per visit                                    40.05
                  Nursing home or home for the aged
               W153 - first 2 subsequent visits per patient per month ....... per visit                                40.05
               W158 - subsequent visits per month (maximum of 3 per patient per
                       month) .................................................................... per visit           40.05
               W972 - palliative care (see General Preamble GP50) ........ per visit                                   40.05
               W121 Additional visits due to intercurrent illness (see General
                      Preamble GP49)..................................................... per visit                    40.05
               W124 Subsequent visit – day of discharge (see A20 for terms and
                      conditions) .............................................................. per visit             71.80

PDF page 236 / A108

CONSULTATIONS AND VISITS
GENERAL SURGERY (03)
   NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES
    Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals,
    Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or
    convalescent care beds in hospitals and nursing homes or homes for the aged, other than
    patients in designated palliative care beds. For emergency calls and other special visits to in-
    patients, use General Listings and Premiums when applicable - see General Preamble GP65
    to GP78.
 W035 Consultation ............................................................................ 114.75
 W036 Repeat consultation ................................................................       76.45
   Subsequent visits (see General Preamble GP49)
    Chronic care or convalescent hospital
 W032 - first 4 subsequent visits per patient per month .......per visit                                       40.05
 W031 - additional subsequent visits (maximum of 6 per patient per
         month).....................................................................per visit                  40.05
 W982 - palliative care (see General Preamble GP50) ........per visit                                          40.05
    Nursing home or home for the aged
 W033 - first 2 subsequent visits per patient per month .......per visit                                       40.05
 W038 - subsequent visits per month (maximum of 3 per patient per
         month).....................................................................per visit                  40.05
 W972 - palliative care (see General Preamble GP50) ........per visit                                          40.05
 W121 Additional visits due to intercurrent illness (see
        General Preamble GP49) .......................................per visit                                40.05
 W124 Subsequent visit – day of discharge (see A20 for terms and
        conditions)...............................................................per visit                    71.80

PDF page 245 / A117

CONSULTATIONS AND VISITS
 GENETICS (22)
     Subsequent visits (see General Preamble GP49)
      Chronic care or convalescent hospital
   W222 - first 4 subsequent visits per patient per month ....... per visit                        40.05
   W221 - additional subsequent visits (maximum of 6 per patient per
          month) .................................................................... per visit    40.05
   W982 - palliative care (see General Preamble GP50) ........ per visit                           40.05
      Nursing home or home for the aged
   W224 - first 2 subsequent visits per patient per month ....... per visit                        40.05
   W228 - subsequent visits per month (maximum of 3 per patient per
           month ..................................................................... per visit   40.05
   W972 - palliative care (see General Preamble GP50) ........ per visit                           40.05
   W121 Additional visits due to intercurrent illness (see General
          Preamble GP49)..................................................... per visit            40.05
   W124 Subsequent visit – day of discharge (see A20 for terms and
          conditions) .............................................................. per visit     71.80

PDF page 250 / A122

Subsequent visits (see General Preamble GP49)
                  Chronic care or convalescent hospital
               W072 - first 4 subsequent visits per patient per month....... per visit                                          40.05
               W071 - additional subsequent visits (maximum of 6 per patient per
                       month) .................................................................... per visit                    40.05
               W982 - palliative care (see General Preamble GP50)........ per visit                                             40.05
                  Nursing home or home for the aged
               W073 - first 2 subsequent visits per patient per month....... per visit                                          40.05
               W078 - subsequent visits per month (maximum of 3 per patient per
                       month) .................................................................... per visit                    40.05
               W972 - palliative care (see General Preamble GP50)........ per visit                                             40.05
               W121 Additional visits due to intercurrent illness (see General
                      Preamble GP49) .................................................... per visit                             40.05
               W124 Subsequent visit – day of discharge (see A20 for terms and
                      conditions).............................................................. per visit                       71.80
                  Monthly Management of a Nursing Home or Home for the Aged Patient
               W010 Monthly management fee (per patient per month) (see General
                      Preamble GP51 to GP52) ...................................................                              135.30

PDF page 256 / A128

Subsequent visits (see General Preamble GP49)
    Chronic care or convalescent hospital
 W462 - first 4 subsequent visits per patient per month....... per visit                                     40.05
 W461 - additional subsequent visits (maximum of 6 per patient per
        month) .................................................................... per visit                40.05
 W982 - palliative care (see General Preamble GP50)........ per visit                                        40.05
    Nursing home or home for the aged
 W463 - first 2 subsequent visits per patient per month....... per visit                                     40.05
 W468 - subsequent visits per month (maximum of 3 per patient per
        month) .................................................................... per visit                40.05
 W972 - palliative care (see General Preamble GP50)........ per visit                                        40.05
 W121 Additional visits due to intercurrent illness (see General
        Preamble GP49)..................................................... per visit                        40.05
 W124 Subsequent visit – day of discharge (see A20 for terms and
        conditions) .............................................................. per visit                 71.80

PDF page 259 / A131

Subsequent visits (see General Preamble GP49)
                  Chronic care or convalescent hospital
               W132   - first 4 subsequent visits per patient per month ....... per visit                              40.05
               W131   - additional subsequent visits (maximum of 6 per patient per
                        month) .................................................................... per visit          40.05
               W982   - palliative care (see General Preamble GP50) ........ per visit                                 40.05
                  Nursing home or home for the aged
               W133   - first 2 subsequent visits per patient per month ....... per visit                              40.05
               W138   - subsequent visits per month (maximum of 3 per patient per
                        month) .................................................................... per visit          40.05
               W972   - palliative care (see General Preamble GP50) ........ per visit                                 40.05
               W121 Additional visits due to intercurrent illness (see General
                      Preamble GP49)..................................................... per visit                    40.05
               W124 Subsequent visit – day of discharge (see A20 for terms and
                      conditions) .............................................................. per visit             71.80

PDF page 263 / A135

CONSULTATIONS AND VISITS
      MEDICAL ONCOLOGY (44)
         Subsequent visits by the MRP following transfer from an Intensive Care Area
          See General Preamble GP46 for terms and conditions.
       C142  - first subsequent visit by the MRP following transfer from an
               Intensive Care Area............................................................. 71.80
       C143  - second subsequent visit by the MRP following transfer from
               an Intensive Care Area........................................................   71.80
               C121 Additional visits due to intercurrent illness (see General
                      Preamble GP43) ................................................... per visit               40.05
               C448 Concurrent care ......................................................... per visit        40.05
               C982 Palliative care (see General Preamble GP50)............ per visit                          40.05
                 NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES
                  Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals,
                  Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or
                  convalescent care beds in hospitals and nursing homes or homes for the aged, other than
                  patients in designated palliative care beds. For emergency calls and other special visits to in-
                  patients, use General Listings and Premiums when applicable - see General Preamble
                  GP65 to GP78.
               W445 Consultation............................................................................. 183.40
               W845 Limited consultation.................................................................     115.95
               W446 Repeat consultation.................................................................      115.95
                 Admission assessment
               W842 - Type 1 .................................................................................   69.35
               W844 - Type 2 .................................................................................   20.60
               W847 - Type 3 .................................................................................   30.70
               W849 Periodic health visit..................................................................      65.05
               W444 General re-assessment of patient in nursing home (as per the
                      Nursing Homes Act)*...........................................................             20.60
                  Note:
                  *May only be claimed 6 months after Periodic health visit (as per the Nursing Homes Act).
                 Subsequent visits (see General Preamble GP49)
                  Chronic care or convalescent hospital
               W442 - first 4 subsequent visits per patient per month....... per visit                       40.05
               W441 - additional subsequent visits (maximum of 6 per patient per
                       month) .................................................................... per visit 40.05
               W982 - palliative care (see General Preamble GP50)........ per visit                          40.05
                  Nursing home or home for the aged
               W443 - first 2 subsequent visits per patient per month....... per visit                           40.05
               W448 - subsequent visits per month (maximum of 3 per patient per
                       month) .................................................................... per visit     40.05
               W972 - palliative care (see General Preamble GP50)........ per visit                              40.05
               W121 Additional visits due to intercurrent illness (see General
                      Preamble GP49) .................................................... per visit              40.05
               W124 Subsequent visit – day of discharge (see A20 for terms and
                      conditions).............................................................. per visit        71.80

PDF page 267 / A139

Subsequent visits (see General Preamble GP49)
      Chronic care or convalescent hospital
   W162 - first 4 subsequent visits per patient per month....... per visit                        40.05
   W161 - additional subsequent visits (maximum of 6 per patient per
          month) .................................................................... per visit   40.05
   W982 - palliative care (see General Preamble GP50)........ per visit                           40.05
      Nursing home or home for the aged
   W163 - first 2 subsequent visits per patient per month....... per visit                        40.05
   W168 - subsequent visits per month (maximum of 3 per patient per
          month) .................................................................... per visit   40.05
   W972 - palliative care (see General Preamble GP50)........ per visit                           40.05
   W121 Additional visits due to intercurrent illness (see General
          Preamble GP49) .................................................... per visit           40.05
   W124 Subsequent visit – day of discharge (see A20 for terms and
          conditions).............................................................. per visit     71.80

PDF page 273 / A145

Subsequent visits (see General Preamble GP49)
                  Chronic care or convalescent hospital
               W182 - first 4 subsequent visits per patient per month ....... per visit                        40.05
               W181 - additional subsequent visits (maximum of 6 per patient per
                      month) .................................................................... per visit    40.05
               W982 - palliative care (see General Preamble GP50) ........ per visit                           40.05
                  Nursing home or home for the aged
               W183 - first 2 subsequent visits per patient per month ....... per visit                        40.05
               W188 - subsequent visits per month (maximum of 3 per patient per
                       month) .................................................................... per visit   40.05
               W972 - palliative care (see General Preamble GP50) ........ per visit                           40.05
               W121 Additional visits due to intercurrent illness (see General
                      Preamble GP49)..................................................... per visit            40.05
               W124 Subsequent visit – day of discharge (see A20 for terms and
                      conditions) .............................................................. per visit     71.80

PDF page 293 / A165

CONSULTATIONS AND VISITS
 ORTHOPAEDIC SURGERY (06)
     NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES
      Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals,
      Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or
      convalescent care beds in hospitals and nursing homes or homes for the aged, other than
      patients in designated palliative care beds. For emergency calls and other special visits to in-
      patients, use General Listings and Premiums when applicable - see General Preamble GP65
      to GP78.
   W065 Consultation............................................................................ 89.80
   W066 Repeat consultation ................................................................     55.35
     Subsequent visits (see General Preamble GP49)
      Chronic care or convalescent hospital
   W062 - first 4 subsequent visits per patient per month ....... per visit                        40.05
   W061 - additional subsequent visits (maximum of 6 per patient per
          month) .................................................................... per visit    40.05
   W982 - palliative care (see General Preamble GP50) ........ per visit                           40.05
      Nursing home or home for the aged
   W063 - first 2 subsequent visits per patient per month ....... per visit                        40.05
   W068 - subsequent visits per month (maximum of 3 per patient per
           month) .................................................................... per visit   40.05
   W972 - palliative care (see General Preamble GP50) ........ per visit                           40.05
   W121 Additional visits due to intercurrent illness (see General
          Preamble GP49)..................................................... per visit            40.05
   W124 Subsequent visit – day of discharge (see A20 for terms and
          conditions)‘ ............................................................. per visit     71.80

PDF page 307 / A179

Subsequent visits (see General Preamble GP49)
                  Chronic care or convalescent hospital
               W312 - first 4 subsequent visits per patient per month ....... per visit                         40.05
               W311 - additional subsequent visits (maximum of 6 per patient per
                      month) .................................................................... per visit     40.05
               W982 palliative care (see General Preamble GP50) ............ per visit                          40.05
                  Nursing home or home for the aged
               W313 - first 2 subsequent visits per patient per month ....... per visit                         40.05
               W318 - subsequent visits per month (maximum of 3 per patient per
                       month) .................................................................... per visit    40.05
               W972 - palliative care (see General Preamble GP50) ........ per visit                            40.05
               W121 Additional visits due to intercurrent illness (see General
                      Preamble GP49)..................................................... per visit             40.05
               W124 Subsequent visit – day of discharge (see A20 for terms and
                      conditions) .............................................................. per visit      71.80

PDF page 337 / A209

CONSULTATIONS AND VISITS
 VASCULAR SURGERY (17)
        NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES
         Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals,
         Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or
         convalescent care beds in hospitals and nursing homes or homes for the aged, other than
         patients in designated palliative care beds. For emergency calls and other special visits to in-
         patients, use General Listings and Premiums when applicable - see General Preamble
         GP65 to GP78.
   W175 Consultation ............................................................................   125.15
   W176 Repeat consultation ................................................................         66.60
     Subsequent visits (see General Preamble GP49)
      Chronic care or convalescent hospital
   W172 - first 4 subsequent visits per patient per month ....... per visit                          40.05
   W171 - additional subsequent visits (maximum of 6 per patient per
          month) ................................................................... per visit       40.05
   W982 - palliative care (see General Preamble GP50) ........ per visit                             40.05
      Nursing home or home for the aged
   W173 - first 2 subsequent visits per patient per month ....... per visit                          40.05
   W178 - subsequent visits per month (maximum of 3 per patient per
           month) ................................................................... per visit      40.05
   W972 - palliative care (see General Preamble GP50) ........ per visit                             40.05
   W121 Additional visits due to intercurrent illness (see General
          Preamble GP49)..................................................... per visit              40.05
   W124 Subsequent visit – day of discharge (see A20 for terms and
          conditions) .............................................................. per visit       71.80
Fee master record

Master, record 6313. Record Layout PDF, page 1.

W12120260401999999990000040050000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00000400500 / 40.05
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

Additional subsequent visits for acute intercurrent illness, listed under several specialty headings for patients in a nursing home or home for the aged.

Watch out for

Payable for acute intercurrent illness visits whenever rendered; not dependent on whether the monthly limit on subsequent visits has been reached.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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