Medicare Benefits Schedule - Note DN.1.6

Computerised perimetry performed by optometrists is covered by MBS items 10940 and 10941.  Items 11221 and 11224 should not be used to repeat perimetry unless clinically necessary - such as where the results of the perimetry have been provided by the optometrist referring the patient to an ophthalmologist.

Related Items: 10938 10939 10940 10941 11221 11224

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Full quantitative computerised perimetry (automated absolute static threshold), with bilateral assessment and report, where indicated by the presence of glaucoma with a high risk of clinically significant progression that:
(a) is not a service involving multifocal multichannel objective perimetry;
(b) is performed by an optometrist; and
(c) is performed on a patient who has received two perimetry services to which item 10940 or 10941 applies in the previous 12 months
other than a service associated with a service to which item 10916 or 10918 applies
Applicable once per patient (including any service to which item 10939 applies) in a 12-month period

Fee: $72.55 Benefit: 85% = $61.70

(See para AN.10.1, DN.1.6 of explanatory notes to this Category)

Full quantitative computerised perimetry (automated absolute static threshold) with unilateral assessment and report, where indicated by the presence of glaucoma with a high risk of clinically significant progression that:
(a) is not a service involving multifocal multichannel objective perimetry; and
(b) is performed by an optometrist
(c) is performed on a patient who has received two perimetry services to which item 10940 or 10941 applies in the previous 12 months
other than a service associated with a service to which item 10916 or 10918 applies
Applicable once per patient (including any service to which item 10938 applies) in a 12-month period

Fee: $43.80 Benefit: 85% = $37.25

(See para AN.10.1, DN.1.6 of explanatory notes to this Category)

Full quantitative computerised perimetry (automated absolute static threshold), with bilateral assessment and report, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that:
(a) is not a service involving multifocal multichannel objective perimetry; and
(b) is performed by an optometrist;
(c) the patient has received fewer than two perimetry services to which this item or item 10941 applies in a 12-month period
other than a service associated with a service to which item 10916 or 10918 applies

Fee: $72.55 Benefit: 85% = $61.70

(See para AN.10.1, DN.1.6 of explanatory notes to this Category)

Full quantitative computerised perimetry (automated absolute static threshold) with unilateral assessment and report, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that:
(a) is not a service involving multifocal multichannel objective perimetry; and
(b) is performed by an optometrist;
(c) the patient has received fewer than two perimetry services to which this item or item 10940 applies in a 12-month period
other than a service associated with a service to which item 10916 or 10918 applies

Fee: $43.80 Benefit: 85% = $37.25

(See para AN.10.1, DN.1.6 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, bilateral—to a maximum of 3 examinations (including examinations to which item 11224 applies) in any 12 month period

Fee: $77.25 Benefit: 75% = $57.95 85% = $65.70

(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: $46.50 Benefit: 75% = $34.90 85% = $39.55

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