W313

First 2 subsequent visits per patient per month

Fee

ComponentValue
Specialist 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 307 / A179

- first 2 subsequent visits per patient per month ....... per visit 40.05
Passages mentioning W313

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
Fee master record

Master, record 6394. Record Layout PDF, page 1.

W31320260401999999990000000000000000000000000004005000000000000000000000000

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
provider00000000000 / 0
assistant00000000000 / 0
specialist00000400500 / 40.05
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

Under Physical Medicine and Rehabilitation, in non-emergency long-term care in-patient services, this code covers the first 2 subsequent visits in a nursing home or home for the aged. It is listed per visit.

Watch out for

Applies to the first 2 subsequent visits per patient per month.

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