Billing code
W234A — Internal medicine LTC admission assessment – Type 2
LTC admission, internist, Type 2
Bill for an internist's first visit after long-term care admission when you already did a consultation or general assessment beforehand.
Watch for: Use it instead of Type 1 (W232) whenever you assessed the patient before admission; not payable by video or phone.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $20.60 | $0.00 | $0.00 | $0.00 |
- Code
- W234A
- Description
- Internal medicine LTC admission assessment – Type 2
- 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
First internal medicine visit after LTC admission when you already did a consultation or general assessment before the patient was admitted.
What it covers
W234 is the Internal Medicine (13) long-term care admission assessment, Type 2 (A131). A Type 2 admission assessment is the admitting physician's first visit after admission when they already did a consultation, general assessment or general re-assessment of the patient before admission (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).
- Use this instead of Type 1 when you already saw the patient for a consultation, general assessment or general re-assessment before admission (GP49).
- Not on the Appendix J virtual care list, so it is not payable by video or phone (AJ1–AJ3).
Related codes: W232, W237, W239, W133
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Internal Medicine (13), page A131. LTC admission assessments GP49.
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