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A115
A115 – Major eye examination
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A major eye examination is a complete evaluation of the eye and vision system for patients aged 20 to 64 inclusive. The examination must include: relevant history (ocular, past medical, family); a comprehensive examination (visual acuity, gross visual field testing by confrontation, ocular mobility, slit lamp examination, ophthalmoscopy and, where indicated, ophthalmoscopy through dilated pupils and tonometry); visual field testing by the same physician where indicated; refraction, and if needed, provision of a refractive prescription; advice and instruction to the patient; submission of the findings of the assessment in writing to the patient's primary care physician or nurse practitioner; and any other medically necessary components of the examination (including eye-related procedures) not specifically listed above.
Must include relevant history (ocular medical history, relevant past medical history, relevant family history); a comprehensive examination (visual acuity, gross visual field testing by confrontation, ocular mobility, slit lamp examination, ophthalmoscopy and, where indicated, ophthalmoscopy through dilated pupils and tonometry); visual field testing by the same physician where indicated; refraction, and if needed, provision of a refractive prescription; advice and instruction to the patient; submission of the findings of the assessment in writing to the patient's primary care physician or nurse practitioner; and any other medically necessary components of the examination (including eye-related procedures) not specifically listed above.
Age
Aged 20 to 64 inclusive
Usage limits
Typically limited to once per 12 months for patients with qualifying medical conditions (aligned with periodic oculo-visual assessment limits).
A110Periodic oculo-visual assessment - aged 19 and belowA112Periodic oculo-visual assessment - aged 65 and aboveA237Ophthalmology periodic oculo-visual assessment - aged 19 and belowA239Ophthalmology periodic oculo-visual assessment - aged 65 and aboveE077Identification of patient for a major eye examination
A115 is the insured major eye exam for the 20-64 age group with medical necessity.
Not eligible for virtual care (video or telephone).
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