A233

PDF page 78 / GP64

GENERAL PREAMBLE
AGE-BASED FEE PREMIUMS
 1. Despite any other provision in this Schedule, the amount payable for the following services to
    an insured person who falls into the age group described in the Age Group column of the
    following Age Premium Table is increased by the percentage specified in Percentage Increase
    column opposite the Age Group:
    a. A consultation, limited consultation or repeat consultation rendered by a specialist, as those
        services are defined in this Schedule.
     b. A surgical procedure listed in Parts K to Z inclusive of this Schedule.
     c. Basic and time unit surgical assistant services listed in Parts K to Z inclusive of this
        Schedule.
     d. Clinical Procedures associated with Diagnostic Radiological Examinations.
     e. A specific assessment or a partial assessment rendered by a specialist in ophthalmology
        (23) (A233 or A234).
     f. A Midwife or Aboriginal Midwife-Requested Special Assessment (A815, C815 or A817) or a
        Midwife or Aboriginal Midwife-Requested Assessment (A813, C813 or A814) rendered by a
        specialist.

PDF page 282 / A154

[Commentary:
    In circumstances where a neuro-ophthalmologist renders a consultation service to a patient
    who is not referred for a neuro-ophthalmology consultation or, where the patient does not have
    a neuro-ophthalmological disorder, see general listings.]
A930 Uveitis and ocular inflammatory diseases consultation ..........              157.00
    Payment rules:
    1.A930 is only eligible for payment to an ophthalmologist with fellowship training in uveitis and
      ocular inflammatory diseases
       2.A930 is only eligible for payment for the consultation of a patient with a uveitis, ocular
         inflammatory or orbital inflammatory disorder
       3.A930 is only eligible for payment when the following are documented as part of the
         examination:
           a.Dilated examination of the fundus; and
           b.Analysis of laboratory testing, radiological and ocular imaging studies performed for
             investigation of the patient’s ocular inflammatory disease.
       [Commentary:
       In circumstances where an ophthalmologist with fellowship training in uveitis and ocular
       inflammatory diseases renders a consultation service to a patient who is not referred for a
       consultation for a uveitis, ocular or orbital inflammatory disorder or, where the patient does not
       have a uveitis, ocular or orbital inflammatory disorder, see general listings.]
 A233 Specific assessment ...............................................................                    60.50

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CONSULTATIONS AND VISITS
 OPHTHALMOLOGY (23)
  A234 Partial assessment .................................................................     31.95
       Manual cycloplegic refraction is the service rendered personally by an ophthalmologist for
       evaluation of patients up to and including 15 years of age for the evaluation of strabismus and/
       or amblyopia requiring glasses or contact lenses.
   E423    - manual cycloplegic refraction, to A233 or A234 ......... add               25.00
       Payment rules:
       E423 is limited to a maximum of two services per 12 month period per patient per physician.

Master, record 125. Record Layout PDF, page 1.

A23320260401999999990000000000000000000000000006050000000000000000000000000

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.