< Billing codes

Billing code

W061A — Chronic care subsequent visit – additional (orthopaedics)

Extra chronic care visits, orthopaedics

Bill for an orthopaedic surgeon's routine chronic care or convalescent hospital visits after the first 4 (W062) in the month.

Watch for: Maximum 6 per patient per month; more is rejected as service limit exceeded.

Code

W061A

Description

Chronic care subsequent visit – additional (orthopaedics)

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Additional routine orthopaedic visits to a chronic care or convalescent hospital patient after the first 4 in a month, up to 6 per month.

What it covers

W061 is the Orthopaedic Surgery (06) additional subsequent visit in a chronic care or convalescent hospital, with a maximum of 6 per patient per month (A165). It follows the first 4 monthly visits billed as W062 (A165).

Billing rules

• Maximum of 6 per patient per month (A165).
• Subsequent visit limits are those printed with each code (GP49).
• Visits for an acute intercurrent illness are billed as W121, which doesn't depend on the monthly limit (GP49).
• Seeing your own patient while already in the institution uses the W-prefix codes; seeing another physician's patient on an emergency basis uses the General Listings (A-prefix) (GP49).
• Not a virtual care code: W061 isn't in Appendix J (AJ1–AJ3).

Often billed with

• W121 for acute intercurrent illness (GP49).

Common rejections

• AM1: OHIP describes this as 'Service limit exceeded': more W061 visits in the month than the listed maximum (A165).

Related codes: W062, W063, W068, W121, W982

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Orthopaedic Surgery (06), page A165. Long-term care rules GP49.

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