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Billing code

W132A — Internal medicine chronic care subsequent visit – first 4 per month

Chronic care visit, internal medicine

Bill for an internist's first 4 routine visits per patient per month in a chronic care or convalescent hospital.

Watch for: Further visits that month are W131; not payable by video or phone.

Code

W132A

Description

Internal medicine chronic care subsequent visit – first 4 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 internal medicine visit to a chronic care or convalescent hospital patient: the first 4 subsequent visits per patient per month.

What it covers

W132 is the Internal Medicine (13) subsequent visit in a chronic care or convalescent hospital, for the first 4 subsequent visits per patient per month (A131). 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 Internal Medicine (13) (GP9).
• Covers the first 4 subsequent visits per patient per month; additional routine visits are W131, up to 6 per month (A131).
• 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).
• W010 monthly management applies to nursing home and home for the aged patients, not chronic care or convalescent hospital patients (GP51).
• 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 (A131).

Related codes: W131, W121, W982, W133, W124

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Internal Medicine (13), page A131. LTC subsequent visits GP49.

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