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K066
K066 – Eye examination - Ontario Works Act recipient (ages 20-64)
OHIP Appendix F Code — APPENDIX F · Schedule of Benefits
This service is for an eye examination rendered to patients aged 20 to 64 who are recipients of income assistance or benefits under the Ontario Works Act, 1997. The assessment is primarily to determine if a patient has a simple refractive error (defined as myopia, hypermetropia, presbyopia, anisometropia or astigmatism) and includes all services necessary to perform the assessment. These services ordinarily include:
• relevant ocular medical history
• relevant past medical history
• relevant family history
• visual acuity examination
• ocular mobility examination
• refraction
• 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
For recipients of income assistance or benefits under the Ontario Works Act, 1997
These services are limited to a maximum of one per patient every 24-month period regardless of whether a periodic oculo-visual assessment or a major eye examination is rendered by the same physician, a different physician, or when the service is rendered by an optometrist described as a “major oculo-visual examination” in the Schedule of Benefits for Optometry Services
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