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: 10940 10941 11221 11224

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COMPUTERISED PERIMETRY Full quantitative computerised perimetry (automated absolute static threshold), with bilateral assessment and report, where 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 multi channel objective perimetry; and (b) is performed by an optometrist; not being a service associated with a service to which item 10916, 10918, 10931, 10932 or 10933 applies 

To a maximum of 2 examinations per patient (including examinations to which item 10941 applies) in any 12 month period.

Fee: $72.55 Benefit: 85% = $61.70

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

COMPUTERISED PERIMETRY Full quantitative computerised perimetry (automated absolute static threshold) with unilateral assessment and report, where 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; not being a service associated with a service to which item 10916, 10918 10931, 10932 or 10933 applies 

To a maximum of 2 examinations per patient (including examinations to which item 10940 applies) in any 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), 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)