Billing code
W239A — Internal medicine LTC periodic health visit
LTC health visit, internal medicine
Bill for an internist's periodic health visit for a long-term care resident with no apparent acute illness.
Watch for: One per patient per physician per 12 months; extra ones are not insured.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $65.05 | $0.00 | $0.00 | $0.00 |
- Code
- W239A
- Description
- Internal medicine LTC periodic health visit
- 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
Periodic health visit by an internist for a long-term care resident with no acute illness: history, exam, screening and counselling.
What it covers
W239 is the Internal Medicine (13) periodic health visit for long-term care residents (A131). A periodic health visit is done for a patient with no apparent acute physical or mental illness, and includes an age- and gender-appropriate history, examination, health screening and relevant counselling (GP21).
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).
- One periodic health visit per patient per physician per 12 months; extra ones are not insured (GP21).
- The general re-assessment W134 can only be claimed 6 months after the periodic health visit, as required by the Nursing Homes Act (A131).
- Not on the Appendix J virtual care list, so it is not payable by video or phone (AJ1–AJ3).
Related codes: W134, W232, W234, W237, W133
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Internal Medicine (13), page A131. Periodic health visit GP21.
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