Medicare Benefits Schedule - Note DN.1.7

Item 11221 for bilateral procedures cannot be claimed for patients who are totally blind in one eye. In this instance, item 11224 for unilateral procedures should be claimed, where appropriate.

Related Items: 11221 11224

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Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral—to a maximum of 3 examinations (including examinations to which item 11224 applies) in any 12 month period

Fee: $74.65 Benefit: 75% = $56.00 85% = $63.50

(See para DN.1.6, DN.1.7 of explanatory notes to this Category)

Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral—to a maximum of 3 examinations (including examinations to which item 11221 applies) in any 12 month period

Fee: $44.95 Benefit: 75% = $33.75 85% = $38.25

(See para DN.1.6, DN.1.7 of explanatory notes to this Category)