Billing code
W134A — Internal medicine nursing home general re-assessment
Nursing home re-assessment, internal medicine
Bill for an internist's general re-assessment of a nursing home resident required by the Nursing Homes Act.
Watch for: Claim it only 6 months after the periodic health visit (W239); limit is 2 re-assessments per patient per 12 months.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $20.60 | $0.00 | $0.00 | $0.00 |
- Code
- W134A
- Description
- Internal medicine nursing home general re-assessment
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Jun 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
General re-assessment of a nursing home resident by an internist under the Nursing Homes Act, at least 6 months after the periodic health visit.
What it covers
W134 is the Internal Medicine (13) general re-assessment of a patient in a nursing home, as required by the Nursing Homes Act (A131).
A general re-assessment includes everything in a general assessment, but the history can be shorter where details are already on file (GP22).
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).
- May only be claimed 6 months after the periodic health visit (W239), as per the Nursing Homes Act (A131).
- General re-assessments are limited to 2 per patient per physician per 12 months, except for hospital admissions; extras pay a lesser fee (GP22).
- Not on the Appendix J virtual care list, so it is not payable by video or phone (AJ1–AJ3).
Related codes: W239, W232, W237, W133, W138
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Internal Medicine (13), page A131.
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