G460

PDF page 510 / J96

If the patient's clinical condition meets all the above criteria but retinal photographs are not
    made prior to the procedure and retained on the patient's permanent medical record or the
    procedure is not performed by an ophthalmologist, then PDT is not eligible for payment.
    Maximum one PDT (unilateral or bilateral) per patient per day.
G460 Unilateral PDT per patient .......................................... per day  330.00
G461 Bilateral PDT per patient............................................. per day 500.00
   Note:
   1.G379 rendered to same patient in conjunction with G460 or G461 is an insured service
     payable at nil.
    2.G460 rendered to same patient same day as G461 is an insured service payable at nil.
    3.Assessments and angiography are payable in addition to PDT. Retinal photography is
      insured as a specific element of the assessment and is not payable separately.
    [Commentary:
    1.PDT will normally not be administered to each affected eye more frequently than once every
      3 months.
    2.PDT performed for treatment of clinical conditions other than described above is uninsured.]

Master, record 2171. Record Layout PDF, page 1.

G46020250401999999990000000000000000000000000033000000000000000000000000000

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.