K066

PDF page 819 / AF1

PERIODIC OCULO-VISUAL ASSESSMENT
   K065 Eye examination rendered to patients between the ages 20
           and 64 who are recipients of income support under the
           Ontario Disability Support Program Act, 1997....................                                              56.80
   K066 Eye examination rendered to patients between the ages 20
           and 64 who are recipients of income assistance or benefits
           under the Ontario Works Act, 1997 ....................................                                        56.80
  These assessments are rendered primarily to determine if a patient has a simple refractive error
  (defined as myopia, hypermetropia, presbyopia, anisometropia or astigmatism) and include all
  services necessary to perform the assessment (ordinarily relevant ocular medical history, relevant
  past medical history, relevant family history, visual acuity examination, ocular mobility examination,
  refraction, slit lamp examination of the anterior segment, ophthalmoscopy, tonometry), advice and/or
  instruction to the patient and provision of a written refractive prescription if required.
                                           Note:
                                           1.These services are limited to a maximum of one per patient every 24-month period
                                             regardless of whether a periodic oculo-visual assessment or a major eye examination is
                                             rendered by the same physician, a different physician, or when the service is rendered by an
                                             optometrist described as a “major oculo-visual examination” in the Schedule of Benefits for
                                             Optometry Services

Master, record 2937. Record Layout PDF, page 1.

K06620260401999999990000056800000000000000000000000000000000000000000000000

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.