A930 – Uveitis and ocular inflammatory diseases consultation
OHIP General Listings Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A consultation for a patient with a uveitis, ocular inflammatory or orbital inflammatory disorder, rendered by an ophthalmologist with fellowship training in these diseases.
When to Use
- Bill A930 when an ophthalmologist with fellowship training in uveitis/ocular inflammatory diseases provides a consultation for a patient diagnosed with intermediate uveitis, requiring fundus photography and analysis of blood work.
- Use A930 for a consultation by a fellowship-trained ophthalmologist for a patient with suspected orbital inflammatory pseudotumor, necessitating a review of MRI findings and a detailed written report to the referring physician.
- A930 is appropriate for a consultation concerning a patient with Behçet's disease-related panuveitis, where the ophthalmologist documents a dilated fundus examination and discusses management with the referring rheumatologist.
Common Pitfalls
- Billing A930 when the ophthalmologist lacks specific fellowship training in uveitis/ocular inflammatory diseases; this should be billed as A235.
- Failure to document a dilated fundus examination or the analysis of relevant investigations (labs, imaging) will lead to claim rejection.
- Billing A930 more than once within a 24-month period for the same diagnosis by the same physician, violating the general consultation usage limit.
Billing Tips
- Ensure the referral is from a physician, NP, or dental surgeon and clearly document this in the chart to meet A930 requirements.
- Submit a comprehensive written report to the referring provider detailing findings, opinions, and recommendations to support the A930 claim.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Ophthalmology
Consultation
Must be rendered following a written request from a referring physician, nurse practitioner, or dental surgeon.
A written report (including findings, opinions, and recommendations) must be provided to the referring provider.
Documentation of a dilated examination of the fundus is required.
Documentation of the analysis of laboratory testing, radiological and ocular imaging studies performed for investigation of the patient’s ocular inflammatory disease is required.
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