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Billing code

W419A — Physiatry periodic health visit – long-term care

LTC health visit, physiatry

Bill for a physiatrist's periodic health visit for a patient in a long-term care institution.

Watch for: Plan the nursing home re-assessment (W314) no sooner than 6 months after this visit.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$0.00$65.05$0.00$0.00$0.00
Code
W419A
Description
Physiatry periodic health visit – long-term care
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 a physiatrist for a patient in a long-term care institution.

What it covers

W419 is the periodic health visit in the Physical Medicine & Rehabilitation (31) long-term care listing (A179).

A general re-assessment in a nursing home (W314) may only be claimed 6 months after the periodic health visit, as per the Nursing Homes Act (A179).

Billing rules

  • 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).
  • Plan a nursing home general re-assessment (W314) no sooner than 6 months after this visit (A179).

Related codes: W314, W512, W312, W313

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