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A254 – Follow-up vision rehabilitation assessment

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

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Levels of this visit

The A25x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

  • A250 Retinopathy of prematurity assessment

    Retinopathy of Prematurity (ROP) assessment is the service rendered by an ophthalmologist for initial assessment or follow-up assessment(s) of a patient with ROP who is either: 9…

    $125.80

  • A251 Special ophthalmologic assessment

    A complete ophthalmologic assessment, rendered by an ophthalmologist, to a person with a psychological problem, developmental delay, learning disability, or significant physical…

    $125.80

  • A254 Follow-up vision rehabilitation assessment(this code)

    A follow-up vision rehabilitation assessment by an ophthalmologist of a patient with either low visual acuity, visual field defect, or significant oculomotor dysfunction.

    $125.80

  • A252 Initial vision rehabilitation assessment

    Initial vision rehabilitation assessment by an ophthalmologist of a patient with either low visual acuity, visual field defect, or significant oculomotor dysfunction, requiring a…

    $251.65

Consultations

  • A255 Limited consultation

    A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician’s time than the full consultation.

    $110.15
A follow-up vision rehabilitation assessment by an ophthalmologist of a patient with either low visual acuity, visual field defect, or significant oculomotor dysfunction. Definitions The following phrases have the following meanings for the purpose of fee schedule code A254: • Low visual acuity: best corrected visual acuity of 20/50 (6/15) or less in the better eye and not amenable to further medical and/or surgical treatment. • Significant oculomotor dysfunction: nerve palsy or nystagmus resulting in low visual acuity or visual field defects as defined and not amenable to further medical and/or surgical treatment. • Visual field defect: splitting of fixation, scotomata, quadranopic or hemianopic field defects not amenable to further medical and/or surgical treatment. This service is only payable when a minimum of three (3) of the following eight (8) listed components are rendered during the same visit: 1. Cognitive assessment to determine capacity to cooperate with assessment and treatment. 2. Assessment of residual visual function to include at least two of the following tests: visual acuity tested with ETDRS charts, macular perimetry, contrast sensitivity tested at 5 spatial frequencies and fixation instability. 3. Assessment of eccentric preferred retinal loci. 4. Assessment of near functional visual acuity with ETDRS charts. 5. Assessment of reading skills. (Commentary: For example, using MNRead or Colenbrander charts.) 6. Prescribing of low vision devices aimed to improve residual visual function. 7. Preparation of a vision rehabilitation plan and/or discussion of the plan with the patient. 8. Supervised training of the patient, in accordance with recognized programs, for use of low vision devices and/or training for rehabilitation of skills dependent on vision. This service includes the common and specific elements of an assessment as outlined in the General Preamble on pages -.
The medical record must document that a minimum of three (3) of the eight (8) required components were rendered during the same visit.
A252

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