A931

PDF page 287 / A159

Optometrist-requested assessment for Uveitis and Ocular Inflammatory Diseases
       Optometrist-requested assessment for uveitis and ocular inflammatory diseases is an
       assessment in which the ophthalmologist provides all the elements of an Optometrist-
       Requested Assessment (A253) for a patient with a uveitis, ocular inflammatory or orbital
       inflammatory disorder.
   A931 Optometrist-requested assessment for uveitis and ocular
            inflammatory diseases........................................................ 157.00
          Payment rules:
          1.A931 is only eligible for payment to an ophthalmologist with fellowship training in uveitis and
            ocular inflammatory diseases
          2.A931 is only eligible for payment for the assessment of a patient with a uveitis, ocular
            inflammatory or orbital inflammatory disorder
          3.A931 is only eligible for payment when the following are documented as part of the
            examination:
              a.Dilated examination of the fundus; and

Master, record 330. Record Layout PDF, page 1.

A93120260401999999990000000000000000000000000015700000000000000000000000000

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.