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Billing code

W312A — Physiatry chronic care visit – first 4 per month

Chronic care visit, physiatry

Bill for a physiatrist's first 4 routine visits per patient per month in a chronic care or convalescent hospital.

Watch for: Later visits that month are W311; bill acute intercurrent illness visits as W121.

Code

W312A

Description

Physiatry chronic care visit – first 4 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 physiatrist visit to a chronic care or convalescent hospital patient: the first 4 subsequent visits per patient per month.

What it covers

A subsequent visit is any routine assessment after the patient's admission to a long-term care institution (GP49).

W312 covers the first 4 subsequent visits per patient per month in a chronic care or convalescent hospital (A179). Further visits that month are W311.

Billing rules

• Maximum 4 per patient per month; later visits that month are W311 (A179).
• Visits for an acute intercurrent illness that are not special visits are billed as W121, whatever the monthly count; if a special visit is needed, use the General Listings (A prefix) and premiums (GP49).
• If you are already in the institution and see your own patient, use the W codes; seeing another physician's patient on an emergency basis uses the General Listings (A prefix) (GP49).

Related codes: W311, W313, W318, W121, W982

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Physical Medicine & Rehabilitation (31), page A179.

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing