Billing code
W318A — Physiatry nursing home visit – additional visits
Extra nursing home visits, physiatry
Bill for a physiatrist's routine nursing home or home for the aged visits after the first 2 (W313) in the month.
Watch for: Maximum 3 per patient per month; more is rejected as service limit exceeded.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $40.05 | $0.00 | $0.00 | $0.00 |
- Code
- W318A
- Description
- Physiatry nursing home visit – additional visits
- 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
Additional routine physiatrist visits to a nursing home or home for the aged resident after the first 2 in a month. Maximum 3 per month.
What it covers
A subsequent visit is any routine assessment after the patient's admission to a long-term care institution (GP49).
W318 covers further subsequent visits in a nursing home or home for the aged, to a maximum of 3 per patient per month (A179).
Billing rules
- Maximum 3 per patient per month (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).
Common rejections
- AM1: OHIP describes AM1 as 'Service Limit Exceeded': more than 3 W318 visits for this patient in the month (A179).
Related codes: W313, W312, W311, W121
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