Billing code
W314A — Physiatry general re-assessment – nursing home
Nursing home re-assessment, physiatry
Bill for a physiatrist's general re-assessment of a nursing home patient.
Watch for: Claim it only 6 months after the periodic health visit (W419); limit is 2 re-assessments per patient per 12 months.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $20.60 | $0.00 | $0.00 | $0.00 |
- Code
- W314A
- Description
- Physiatry general re-assessment – nursing home
- 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
General re-assessment by a physiatrist of a nursing home patient. Only 6 months or more after the periodic health visit.
What it covers
A general re-assessment includes everything in a general assessment except that the history need not repeat details already obtained (GP22).
W314 is the Physical Medicine & Rehabilitation (31) general re-assessment of a patient in a nursing home (A179).
Billing rules
- May only be claimed 6 months after the periodic health visit (W419), as per the Nursing Homes Act (A179).
- General re-assessments are limited to two per patient per physician per 12 months, except for hospital admissions; extras are paid at a lesser fee (GP22).
- Non-emergency long-term care in-patient service: chronic care and convalescent hospitals, nursing homes, homes for the aged and designated chronic or convalescent beds, but not designated palliative care beds. Emergency calls and special visits use the General Listings (A prefix) with premiums (A179, GP49).
Related codes: W419, W517, W313, W318
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Physical Medicine & Rehabilitation (31), page A179.
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