All codes
V413
V413 – V413
OHIP Other Code · Schedule of Benefits
When to Use
- Use V413 for a specific, focused assessment of a patient's visual acuity when no other comprehensive eye examination code is applicable.
- Apply this code when performing a follow-up visual acuity check that does not meet the requirements for a full minor or intermediate assessment.
Common Pitfalls
- Billing V413 in conjunction with a comprehensive assessment code like A007 or A003 is considered unbundling and will result in claim rejection.
- Avoid using V413 for routine screening if the patient is eligible for a full periodic eye exam, as this may trigger an audit for under-coding or inappropriate service selection.
Billing Tips
- Ensure the clinical note clearly documents the visual acuity measurement to justify the claim if audited, as the code is strictly tied to this specific service.
Provider Fee$40.00
Effective: September 1, 2023
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