Billing code
W313A — Physiatry nursing home visit – first 2 per month
Nursing home visit, physiatry
Bill for a physiatrist's first 2 routine visits per patient per month in a nursing home or home for the aged.
Watch for: Later visits that month are W318; bill acute intercurrent illness visits as W121.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $40.05 | $0.00 | $0.00 | $0.00 |
- Code
- W313A
- Description
- Physiatry nursing home visit – 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 physiatrist visit to a nursing home or home for the aged resident: the first 2 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).
W313 covers the first 2 subsequent visits per patient per month in a nursing home or home for the aged (A179). Further visits that month are W318.
Billing rules
- Maximum 2 per patient per month; later visits that month are W318 (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: W318, W312, W311, W121, W972
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Physical Medicine & Rehabilitation (31), page A179.
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