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A253
A253 – Optometrist-requested assessment (ORA)
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Optometrist-requested assessment (ORA) is an assessment of a patient provided by an ophthalmologist upon the written request of an optometrist because of the complex, obscure or serious nature of the patient’s problem. Urgent or emergency requests may be initiated verbally but must also be documented in writing. The ORA includes the common and specific elements of a specific assessment.
Referral requiredFrom: Optometrist
Urgent or emergency requests may be initiated verbally but must also be documented in writing.
The ophthalmologist must submit his/her findings, opinions and recommendations in writing to both the optometrist and the patient’s primary care physician or nurse practitioner, if applicable.
The written request from the optometrist must be retained on the patient’s permanent medical record.
Usage limits
Limited to one per patient, per physician, per 24 month period.
The fee for A253 is $86.25 (as of April 1, 2026).
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