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A239 – Periodic oculo-visual assessment - aged 65 years and above

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

Levels of this visit

The A23x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A230 Orthoptic assessment

    Orthoptic assessment must include quantitative measurement of all cardinal positions of gaze (straight ahead, left, right, up, down, tilt right and tilt left), sensory testing for…

    $26.20
  • A234 Partial assessment

    A partial assessment is a limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient, and an appropriate…

    $31.95
  • A237 Periodic oculo-visual assessment - aged 19 years and below

    A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…

    $59.35
  • A239 Periodic oculo-visual assessment - aged 65 years and above(this code)

    A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…

    $59.35
  • A233 Specific assessment

    A specific assessment is a service rendered by a specialist, in a place other than a patient’s home, that requires a full history of the presenting complaint and detailed…

    $60.50

Consultations

  • A236 Repeat consultation

    A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…

    $48.00
  • A235 Consultation

    A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based insured dental…

    $86.25
  • A231 Neuro-ophthalmology consultation

    A consultation rendered by an ophthalmologist with fellowship training in neuro-ophthalmology for a patient with a neuro-ophthalmological disorder, requiring specific documented…

    $155.45
A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia, hypermetropia, presbyopia, anisometropia or astigmatism) for patients aged 65 or more.
History of the presenting complaint
Past medical history
Visual acuity examination
Ocular mobility examination
Slit lamp examination of the anterior segment
Ophthalmoscopy
Tonometry
Advice and/or instruction to the patient
Provision of a written refractive prescription if required
Age

aged 65 years and above

Usage limits
Limited to one per patient per 12 month period regardless of whether rendered by the same physician, a different physician, or an optometrist (major oculo-visual examination).

Services in excess of the 12-month limit or to patients aged 20 to 64 are not insured services.

Other consultation and visit codes are not to be used as a substitute for this service when the limit is reached.

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