A231

PDF page 282 / A154

Payment rules:
       1.A231 is only eligible for payment when at least four of the following are documented as a part
         of the examination:
           a.Detailed pupillary examination (includes pharmacological testing as applicable)
           b.Detailed extraocular motility examination
           c.Ocular alignment testing
           d.Partial or complete neurological examination
           e.Detailed examination of the fundus
           f. Analysis of formal visual field test(s)
           g.Analysis of pertinent diagnostic imaging studies
       2.A231 is only eligible for payment to an ophthalmologist with fellowship training in Neuro-
         ophthalmology.
       3.A231 is only eligible for payment for the consultation of a patient with a neuro-
         ophthalmological disorder.

PDF page 290 / A162

CONSULTATIONS AND VISITS
OPHTHALMOLOGY (23)
    EMERGENCY OR OUT-PATIENT DEPARTMENT (OPD)
     Physician in hospital but not on duty in the Emergency Department when seeing patients in the
     Emergency or OPD - use General Listings.
  NON-EMERGENCY HOSPITAL IN-PATIENT SERVICES
   See General Preamble GP40 to GP48. For emergency calls and other special visits to in-
   patients, use General Listings and Premiums when applicable - see General Preamble GP65
   to GP78.
C235 Consultation............................................................................  85.95
C935 Special surgical consultation (see General Preamble GP19).                               194.65
C236 Repeat consultation ................................................................      48.00
C231 Neuro-Ophthalmology Consultation – subject to the same
        conditions as A231 .............................................................      155.45
C930 Uveitis and ocular inflammatory diseases consultation, subject
        to the same conditions as A930 .........................................              157.00
C233 Specific assessment ...............................................................       60.50
C234 Specific re-assessment...........................................................         30.75
C250 Retinopathy of prematurity assessment - subject to the same
       conditions as A250 .............................................................                        125.80
  Subsequent visits
C232 - first five weeks........................................................ per visit                        31.00
C237 - sixth to thirteenth week inclusive (maximum 3 per patient
       per week)................................................................ per visit                       31.00
C239 - after thirteenth week (maximum 6 per patient per month)
        ............................................................................... per visit                31.00
   Subsequent visits by the Most Responsible Physician (MRP)
    See General Preamble GP44 to GP45 for terms and conditions.
 C122 - day following the hospital admission assessment..............                                            71.80
 C123 - second day following the hospital assessment ..................                                          71.80
 C124 - day of discharge .................................................................                       71.80
 C126 - day of discharge, medically complex patient (see A13 for
        terms and conditions) .........................................................                          95.10
   Subsequent visits by the MRP following transfer from an Intensive Care Area
    See General Preamble GP46 for terms and conditions.
 C142 - first subsequent visit by the MRP following transfer from an
        Intensive Care Area............................................................ 71.80
 C143 - second subsequent visit by the MRP following transfer from
        an Intensive Care Area .......................................................  71.80
 C121 Additional visits due to intercurrent illness (see General
        Preamble GP43)..................................................... per visit                            40.05
 C238 Concurrent care .......................................................... per visit                       31.00
 C982 Palliative care (see General Preamble GP50)............ per visit                                          40.05

Master, record 124. Record Layout PDF, page 1.

A23120260401999999990000000000000000000000000015545000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.