1What Is the A930 OHIP Code?
What is A930?
The A930 billing code is specifically for consultations related to uveitis and ocular inflammatory diseases. It ensures patients with these complex conditions receive a comprehensive evaluation from an ophthalmologist with specialized fellowship training.
Such consultations are critical because they involve a detailed examination, including fundus dilated examination and analysis of laboratory, radiological, and ocular imaging studies. This helps in forming a precise understanding of the patient's condition, which is essential for developing an optimal treatment plan.
A930 is commonly missed when physicians overlook the specific needs for documentation or eligibility to bill this code, such as the necessity for specific fellowship training and documentation requirements.
2Related Codes
| Code | Name | Frequency | Description |
|---|---|---|---|
| A935 | Special surgical consultation | As appropriate for surgical needs | Consultation required for complex surgical cases within ophthalmology. |
| C935 | Special surgical consultation | As appropriate for surgical needs | Hospital in-patient surgical consultations within ophthalmology. |
| A231 | Neuro-ophthalmology consultation | As warranted by neuro-ophthalmological conditions | Consultation for neuro-ophthalmology cases requiring specialized assessments. |
| A235 | Consultation | Based on general ophthalmology needs | Standard consultation for less complex ophthalmology cases. |
3Eligibility Requirements
Eligibility Requirements
- Specialized Training: This code is only billable by an ophthalmologist with fellowship training in uveitis and ocular inflammatory diseases.
- Condition Requirement: The consultation must be for patients with uveitis, ocular inflammatory, or orbital inflammatory disorders.
- Documentation Requirements:
- A dilated fundus examination must be part of the service.
- Documentation of laboratory test analysis, radiological, and ocular imaging studies must be included.
Consultations not meeting these criteria must use general ophthalmology listings.
4What Your Clinical Note Must Show
Ensure all documentation is complete to validate the A930 billing.
- Copy of the written referral request by the referring physician, nurse practitioner, or dental surgeon.
- Dilated examination of the fundus documented.
- Analysis of laboratory testing and imaging included in the patient record.
- The consultation report should include findings, opinions, and recommendations.
5Weak vs. Strong Note Examples
The strong note succeeds because it includes detailed findings and ensures complete correspondence with the referring physician, fulfilling all necessary documentation requirements. The weak note fails to provide adequate detail or support for the use of the A930 code.
Consulted for ocular inflammation.
Reviewed some lab results.
Complete consultation for uveitis and ocular inflammation rendered after referral by Dr. Smith.
Performed detailed dilated fundus examination.
Analyzed MRI and lab results showing elevated inflammatory markers.
Generated a comprehensive report sent to Dr. Smith.
- Referral documentation present.
- All analysis included and specific findings cited.
