Billing code
W073A — Geriatric nursing home subsequent visit – first 2 per month
Nursing home visit, geriatrics
Bill for a geriatrician'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 W078; don't bill it if you bill W010 as most responsible physician that month.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $40.05 | $0.00 | $0.00 | $0.00 |
- Code
- W073A
- Description
- Geriatric nursing home subsequent visit – first 2 per month
- 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 geriatric visit to a nursing home or home for the aged resident: the first 2 subsequent visits per patient per month.
What it covers
W073 is the Geriatrics (07) subsequent visit in a nursing home or home for the aged, for the first 2 subsequent visits per patient per month (A122). A subsequent visit is any routine assessment after the patient's admission to the long-term care institution (GP49).
Long-term care (W-prefix) services cover chronic care and convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent beds, but not patients in designated palliative care beds (GP49).
Billing rules
- Specialists bill from the Consultations and Visits listing for their own Royal College specialty on file with the Ministry, here Geriatrics (07) (GP9).
- Covers the first 2 subsequent visits per patient per month; later routine visits that month are W078 (A122).
- Visits for an acute intercurrent illness are W121 and are payable whenever done, regardless of the monthly limit. If the illness needs a special visit, use the General Listings (A-prefix) and premiums (GP49).
- When you are already in the institution and see your own patient, use the W-prefix subsequent visit; seeing another physician's patient on an emergency basis uses the General Listings (GP49).
- Special visit premiums are not payable for elective visits in long-term care, or for routine patients seen on rounds (GP65–GP66).
- Subsequent visits are part of W010 monthly management of a nursing home or home for the aged patient. If you are the MRP billing W010 for the month, don't also bill them (GP51–GP52).
- Not on the Appendix J virtual care list, so it is not payable by video or phone (AJ1–AJ3).
Common rejections
- AM1: OHIP describes this as 'Service limit exceeded': more subsequent visits in the month than this code allows (A122).
Related codes: W078, W121, W972, W010, W124, W072
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Geriatrics (07), page A122. LTC subsequent visits GP49.
APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing