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Billing code

W063A — Nursing home subsequent visit – first 2 per month (orthopaedics)

Nursing home visit, orthopaedics

Bill for an orthopaedic surgeon's first 2 routine visits per patient per month in a nursing home or home for the aged.

Watch for: Further visits that month are W068; bill acute intercurrent illness visits as W121.

Code

W063A

Description

Nursing home subsequent visit – first 2 per month (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

Routine orthopaedic visit to a nursing home or home for the aged patient: the first 2 subsequent visits per patient per month.

What it covers

W063 is the Orthopaedic Surgery (06) subsequent visit in a nursing home or home for the aged, for the first 2 subsequent visits per patient per month (A165). A subsequent visit is any routine assessment after admission to the long-term care institution (GP49).

Further visits in the same month are W068 (A165).

Billing rules

• For the first 2 subsequent visits 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: W063 isn't in Appendix J (AJ1–AJ3).

Often billed with

• W121 for acute intercurrent illness (GP49).

Related codes: W068, W062, W061, W121, W972, W065

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

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