Group A10: Optometrical Services
26 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 10905First consultation for a referred patient with another optometrist, lasting over 15 minutes. | $79.80 | — | $67.85 (85%) |
| 10907Initial optometry consultation over 15 minutes for patients not seen by another optometrist within 36 months (under 65) or 12 months (65+). | $40.00 | — | $34.00 (85%) |
| 10910Initial GP consultation over 15 minutes for patients under 65 who haven't had a similar service in the past 3 years. | $79.80 | — | $67.85 (85%) |
| 10911First professional attendance exceeding 15 minutes for patients aged 65+ who haven't received this or related geriatric assessment services in the past 12 months. | $79.80 | — | $67.85 (85%) |
| 10913Comprehensive eye examination (15+ minutes) for significant new visual changes or symptoms, available within 36 months for patients under 65 or within 12 months for patients 65+. | $79.80 | — | $67.85 (85%) |
| 10914First professional attendance over 15 minutes for comprehensive reassessment of a progressive eye disorder; within 36 months for patients under 65 or 12 months for patients 65+. | $79.80 | — | $67.85 (85%) |
| 10915Initial comprehensive eye examination with pupil dilation for a diabetic patient requiring reassessment, taking more than 15 minutes. | $79.80 | — | $67.85 (85%) |
| 10916First professional attendance with a GP for up to 15 minutes, excluding certain associated services. | $40.00 | — | $34.00 (85%) |
| 10918Optometrist consultation for follow-up care unrelated to contact lens prescription or fitting. | $40.00 | — | $34.00 (85%) |
| 10921Subsequent contact lens fitting appointments for patients with high myopia (≥5.0D), hyperopia (≥5.0D), astigmatism (≥3.0D), or anisometropia (≥3.0D); once per condition per 36 months. | $198.50 | — | $168.75 (85%) |
| 10924Subsequent contact lens fitting attendances for patients with irregular astigmatism where spectacle-corrected vision is worse than 6/12 and contact lenses provide additional improvement, limited to once per 36 months. | $250.40 | — | $212.85 (85%) |
| 10926Follow-up contact lens fitting and prescription attendances for patients with severe vision impairment (0.7 logMAR or worse both eyes) using telescopic systems, limited to once per 36 months after initial assessment. | $198.50 | — | $168.75 (85%) |
| 10927Subsequent contact lens fittings for patients with iris or corneal defects (such as aniridia, coloboma, or corneal opacity) prescribed opaque lenses to reduce dazzle or diplopia, as part of a single course of care; once per 36 months. | $250.40 | — | $212.85 (85%) |
| 10928Subsequent professional attendances for contact lens prescription and fitting in patients unable to wear spectacles due to physical deformity, as part of a course of attention; applicable once per 36 months. | $198.50 | — | $168.75 (85%) |
| 10929Subsequent contact lens fitting attendances for patients with medical or optical conditions (excluding refractive errors) requiring therapeutic contact lenses, as part of a course of care; applicable once per 36 months. | $250.40 | — | $212.85 (85%) |
| 10930Contact lens refitting within 36 months of initial fitting due to structural/functional eye changes or allergic response, for patients meeting eligibility criteria. | $198.50 | — | $168.75 (85%) |
| 10931Flag fall service for a home visit, aged care facility, or institution visit where bulk billing applies to this item and another Group A10 Subgroup 1 item, claimable once per location per occasion. | $45.95 | — | $39.10 (85%) |
| 10938Automated bilateral perimetry testing for glaucoma patients at high risk of progression, performed by an optometrist, where two prior perimetry services were done in the past 12 months; limited to once per 12 months. | $76.25 | — | $64.85 (85%) |
| 10939Automated perimetry (visual field testing) for one eye in glaucoma patients at high risk of progression, where two similar tests were done in the past 12 months; performed by optometrist; limited to once per patient per 12 months. | $46.00 | — | $39.10 (85%) |
| 10940Full computerised perimetry (automated threshold testing, both eyes) performed by an optometrist for ocular disease or visual pathway pathology, limited to fewer than two services per 12 months. | $76.25 | — | $64.85 (85%) |
| 10941Automated perimetry (one eye) by optometrist for ocular or visual pathway disease, limited to fewer than two tests per 12 months. | $46.00 | — | $39.10 (85%) |
| 10942Low vision assessment to optimise visual performance for patients with best corrected acuity of 6/15 or worse or restricted visual field, including spectacle correction, contrast/glare testing, and magnification aids; twice per 12 months. | $40.00 | — | $34.00 (85%) |
| 10943Testing to diagnose or establish treatment for binocular or accommodative dysfunction in children aged 3–14 years, assessing accommodation, ocular motility, vergences, fusional reserves or cycloplegic refraction; once per 12 months. | $40.00 | — | $34.00 (85%) |
| 10944Optometrist removal of embedded corneal foreign body (including rust ring) with referral to ophthalmologist if not fully removed after second attempt; maximum once daily. | $86.35 | — | $73.40 (85%) |
| 10945Optometrist support attendance (under 15 minutes) assisting a patient during a telehealth consultation with an ophthalmologist specialist. | $40.00 | — | $34.00 (85%) |
| 10946Optometrist clinical support during a video telehealth consultation with an ophthalmologist, lasting at least 15 minutes, for non-admitted patients. | $79.80 | — | $67.85 (85%) |