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Billing code

W153A — Endocrinology subsequent visit – nursing home, first 2 per month

Nursing home visit, endocrinology

Bill for an endocrinologist'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 W158, up to 3; bill acute intercurrent illness visits as W121.

Code

W153A

Description

Endocrinology subsequent visit – nursing home, 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 follow-up visit by an endocrinologist to a nursing home or home for the aged resident: the first 2 visits per patient each month.

What it covers

A long-term care subsequent visit is any routine assessment after the patient's admission to the institution; its limits are those listed with each code (GP49).

W153 is for the first 2 subsequent visits per patient per month in a nursing home or home for the aged; further visits are W158 (A103).

Billing rules

• First 2 subsequent visits per patient per month (A103).
• After that, bill W158 (maximum of 3 per patient per month) (A103).
• Visits for an acute intercurrent illness are billed as W121, whatever the monthly count; if a special visit is needed, use the A-prefix code with premiums (GP49).
• Seeing your own resident while already in the home is a W-prefix visit; seeing another physician's patient on an emergency basis uses the General Listings (A-prefix) (GP49).
• Not on the virtual care list, so not payable by video or phone (Appendix J).

Related codes: W158, W121, W152, W151, W972

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Endocrinology & Metabolism (15), page A103; rules GP49.

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