I
CERTAIN DIAGNOSTIC AND THERAPEUTIC PROCEDURES
- 01
  NONOPERATIVE ENDOSCOPY
- 02
  DIAGNOSTIC RADIOLOGY AND RELATED TECHNIQUES
  Radiology Section - Please See Section X
- 03
  CLINICAL EVALUATION AND EXAMINATION
- 06
  NUCLEAR MEDICINE
- 07
  PHYSICAL MEDICINE, REHABILITATION, AND RELATED PROCEDURES
- 08
  DIAGNOSTIC AND THERAPEUTIC PSYCHOLOGY AND PSYCHIATRY
- 09
  OPHTHALMOLOGICAL AND OTOLOGICAL DIAGNOSIS AND TREATMENT
  - 09.0
    General and subjective eye examination
  - 09.1
    Examinations of form and structure of eye
  - 09.2
    Objective functional tests of eye
  - 09.4
    Nonoperative procedures related to hearing
- 10
  NONOPERATIVE INTUBATION, IRRIGATION, AND MANIPULATION PROCEDURES
- 11
  REPLACEMENT AND REMOVAL OF THERAPEUTIC APPLIANCES
- 12
  NONOPERATIVE REMOVAL OF FOREIGN BODY
- 13
  OTHER NONOPERATIVE PROCEDURES
II
OPERATIONS ON THE NERVOUS SYSTEM
III
OPERATIONS ON THE ENDOCRINE SYSTEM
IV
OPERATIONS ON THE EYES
V
OPERATIONS ON THE EARS
VI
OPERATIONS ON THE NOSE, MOUTH,AND PHARYNX
VII
OPERATIONS ON THE RESPIRATORY SYSTEM
VIII
OPERATIONS ON THE CARDIOVASCULAR SYSTEM
IX
OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEMS
X
OPERATIONS ON THE DIGESTIVE SYSTEM AND ABDOMINAL REGION
XI
OPERATIONS ON THE URINARY TRACT
XII
OPERATIONS ON THE MALE GENITAL ORGANS
XIII
OPERATIONS ON THE FEMALE GENITAL ORGANS
XIV
OBSTETRIC PROCEDURES
XV
OPERATIONS ON THE MUSCULOSKELETAL SYSTEM
XVI
OPERATIONS ON THE BREAST
XVII
OPERATIONS ON SKIN AND SUBCUTANEOUS TISSUE
XVIII
PROCEDURES NOT ELSEWHERE CLASSIFIED
LABORATORY AND PATHOLOGY
DIAGNOSTIC RADIOLOGY
NOTE: As stated in G.R. 11.1.1, claims for services in the Diagnostic Radiology section will not be payable unless the physician has been approved by the CPSA to provide those services.
THERAPEUTIC RADIOLOGY

Health Service Code 09.13I

Yearly bilateral biometry for myopic progression in children under 18 years of age, technical.

NOTE:

May only be claimed for patients with a refractive error of
- 3D or worse. The refractive error must be recorded in the patients' chart.
Benefit rate includes both eyes.

Common terms:	18 years of age
Category:	T Test
Base rate:	$25.00

Fee modifiers:

No modifiers.

Governing Rules:

6.5 NON-INVASIVE DIAGNOSTIC PROCEDURES IN HOSPITAL, AACC OR UCC

Benefits for non-invasive diagnostic procedures including HSCs in Section E (Laboratory and Pathology) and X (Diagnostic Radiology) performed for a hospital inpatient, registered outpatient or AACC or UCC patient are not payable under the Schedule. Payment for these services is the responsibility of the hospital/Regional Health Authority. This applies to both the technical and professional components. Such procedures include but are not limited to the following list.

9.1.2
Three technical services and three interpretive services from the following examinations may be claimed in addition to HSCs 03.04A, 03.04AZ, 03.08A, 03.08AZ, 03.08H and 09.04:
- 09.01B Gonioscopy
- 09.01C Orthoptic analysis, interpretation
- 09.01E Orthoptic analysis, technical (may include Hess screen)
- 09.02B Anterior chamber depth measurement
- 09.02E Amblyopia evaluation for patients nine years of age or younger
- 09.05A Full threshold perimetric examination, technical
- 09.05B Full threshold perimetric examination, interpretation
- 09.06A Color vision test, interpretation and technical
- 09.11A Bilateral specular microscopy for corneal graft patients only - technical
- 09.11B Bilateral specular microscopy for corneal graft patients only - interpretation
- 09.11C Potential acuity measurement (PAM)
- 09.12A Intravenous fluorescein angiography (IVFA), interpretation
- 09.12B Intravenous fluorescein angiography (IVFA), technical
- 09.13E Optical coherence tomography (OCT), interpretation
- 09.13F Optical coherence tomography (OCT), technical
- 09.13I Yearly bilateral biometry for myopic progression in children under
- 18 years of age, technical
- 09.13J Yearly bilateral biometry for myopic progression in children under
- 18 years of age, interpretation
- 09.26A Diurnal tension curve
- 09.26D Bilateral corneal pachymetry
- 21.31A Diagnostic irrigation of nasolacrimal duct, office procedure, per eye
- 24.89B Diagnostic conjunctival scraping
- 25.81A Diagnostic corneal scraping
9.1.3
Three technical services and three interpretive services from the following examinations may be claimed in addition to HSCs 03.02A, 03.03A, 03.03AZ, 03.07A, 03.07AZ, and 03.07B:
- 03.12A Intraocular pressure measurement
- 09.01A Biomicroscopy (slit lamp examination)
- 09.01B Gonioscopy
- 09.01C Orthoptic analysis, interpretation
- 09.01E Orthoptic analysis, technical (may include Hess screen)
- 09.02B Anterior chamber depth measurement
- 09.02E Amblyopia evaluation for patients nine years of age or younger
- 09.05A Full threshold perimetric examination, technical
- 09.05B Full threshold perimetric examination, interpretation
- 09.06A Color vision test, interpretation and technical
- 09.11A Bilateral specular microscopy for corneal graft patients only - technical
- 09.11B Bilateral specular microscopy for corneal graft patients only - interpretation
- 09.11C Potential acuity measurement (PAM)
- 09.12A Intravenous fluorescein angiography (IVFA), interpretation
- 09.12B Intravenous fluorescein angiography (IVFA), technical
- 09.13E Optical coherence tomography (OCT), interpretation
- 09.13F Optical coherence tomography (OCT), technical
- 09.13I Yearly bilateral biometry for myopic progression in children under
- 18 years of age, technical
- 09.13J Yearly bilateral biometry for myopic progression in children under
- 18 years of age, interpretation
- 09.26A Diurnal tension curve
- 09.26D Bilateral corneal pachymetry
- 21.31A Diagnostic irrigation of nasolacrimal duct, office procedure, per eye
- 24.89B Diagnostic conjunctival scraping
- 25.81A Diagnostic corneal scraping

03.12A	03.16A	03.16B	03.19C	03.19D	03.37A
03.37B	03.38A	03.38B	03.38C	03.38D	03.38E
03.38F	03.38G	03.38H	03.38K	03.38M	03.38N
03.38P	03.38Q	03.38R	03.38S	03.38T	03.38X
03.39A	03.39B	03.41A	03.41B	03.41C	03.41D

03.44A	03.52A	03.52B	03.52C	03.52D	03.55A
03.55B	03.56A	03.56B	07.09A	07.09B	09.01A
09.01B	09.01C	09.01E	09.02B	09.05A	09.05B
09.06A	09.07C	09.11A	09.11B	09.11C	09.12A
09.12B	09.13C	09.13D	09.13E	09.13F	09.13G
09.13H	09.13I	09.13J	09.21B	09.23A	09.23B
09.24B	09.26A	09.26D	09.41A	09.41B	09.43A
09.43B	09.43C	09.43D	09.43E	09.46A	09.49A

95.94C	98.8 A	98.89A	98.89B	98.89C	98.89D
98.89E	98.89F	98.89H	98.92E	98.99F

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Health Service Codes

Health Service Code 09.13I

Yearly bilateral biometry for myopic progression in children under 18 years of age, technical.

NOTE:

Fee modifiers:

Governing Rules:

Fee Navigator®

Health Service Codes

Health Service Code 09.13I

Yearly bilateral biometry for myopic progression in children under 18 years of age, technical.

NOTE:

Fee modifiers:

Governing Rules:

Fee Navigator^®