Billing code
W232A — Internal medicine LTC admission assessment – Type 1
LTC admission, internist, Type 1
Bill for an internist's full general assessment when a patient is admitted to a long-term care institution.
Watch for: If you saw the patient for a consultation or general assessment before admission, it pays less; that is Type 2 (W234).
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $69.35 | $0.00 | $0.00 | $0.00 |
- Code
- W232A
- Description
- Internal medicine LTC admission assessment – Type 1
- 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
Full general assessment by an internist when a patient is admitted to a long-term care home or chronic care hospital.
What it covers
W232 is the Internal Medicine (13) long-term care admission assessment, Type 1 (A131). A Type 1 admission assessment is a general assessment done when the patient is admitted 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).
- Needs a full general assessment: complete history (presenting complaint, family, past, social and functional inquiry) and an examination of all body parts and systems (GP21, GP49).
- If you did a consultation, general assessment or general re-assessment before admission, OHIP pays a lesser fee; that situation is described as a Type 2 admission assessment (GP49).
- Not on the Appendix J virtual care list, so it is not payable by video or phone (AJ1–AJ3).
Related codes: W234, W237, W239, W134, W235
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Internal Medicine (13), page A131. LTC admission assessments GP49.
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