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A241
A241 – Optometrist-requested assessment for neuro-ophthalmic disorders
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
An assessment in which the ophthalmologist provides all the elements of an Optometrist-Requested Assessment (A253) for a patient with a neuro-ophthalmic disorder.
Referral requiredFrom: Optometrist
At least four of the following must be documented as part of the examination: (a) Detailed pupillary examination (includes pharmacological testing as applicable), (b) Detailed extraocular motility examination, (c) Ocular alignment testing, (d) Partial or complete neurological examination, (e) Detailed examination of the fundus, (f) Analysis of formal visual field test(s), (g) Analysis of pertinent diagnostic imaging studies.
The ophthalmologist must submit findings, opinions, and recommendations in writing to both the referring optometrist and the patient’s primary care physician or nurse practitioner (if applicable).
The written request from the optometrist must be retained in the patient’s permanent medical record.
Usage limits
Limited to one per patient, per physician, per 24 month period.
Urgent or emergency requests may be initiated verbally but must be documented in writing.
A241 is not eligible for virtual care (video or telephone) as it is not listed in Appendix J (/).
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