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Billing code

W068A — Nursing home subsequent visit – additional (orthopaedics)

Extra nursing home visits, orthopaedics

Bill for an orthopaedic surgeon's routine nursing home or home for the aged visits after the first 2 (W063) in the month.

Watch for: Maximum 3 per patient per month; more is rejected as service limit exceeded.

Code

W068A

Description

Nursing home 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 nursing home or home for the aged patient after the first 2 in a month, up to 3 per month.

What it covers

W068 is the Orthopaedic Surgery (06) subsequent visit in a nursing home or home for the aged after the first 2 in the month, with a maximum of 3 per patient per month (A165). The first 2 monthly visits are W063 (A165).

Billing rules

• Maximum of 3 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: W068 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 W068 visits in the month than the listed maximum (A165).

Related codes: W063, W062, W061, W121, W972

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

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