Section 1147.2. Definitions

The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:

Adult—A person 21 years of age or older unless otherwise specified in Chapter 1150 (relating to MA Program payment policies) and the MA Program Fee Schedule.

Child—A person 20 years of age or younger unless otherwise specified in Chapter 1150.

Eyeglasses—A pair of untinted prescription lenses and a frame.

State Board—The State Board of Optometry.

Vision examination—An examination of the eyes by a doctor of optometry or a physician skilled in diseases of the eye to determine visual, muscular or neurological abnormalities, vision problems, ocular disease or ocular manifestation of systemic disease, and the prescription of lenses or referral for treatment. An examination rendered and documented in the patient’s record may include the following:

(i) Complete history.

(ii) Naked visual acuity.

(iii) Detailed report of the external findings.

(iv) Opthalmoscopic examination (media, fundus, blood vessels, disc.).

(v) Corneal curvature measurements (dioptral).

(vi) Static retinoscopy.

(vii) Amplitude of convergence and accommodation.

(viii) Ocular muscle balance.

(ix) Subjective refraction test.

(x) Fusion.

(xi) Steroposis.

(xii) Color vision.

(xiii) Visual fields (confrontation).

(xiv) Visual fields, central (after age 40).

(xv) Prescription given and visual acuity obtained.

(xvi) Biomicroscopy (slit lamp).

(xvii) Tonometry.

(xviii) Prognosis, stable or unstable.

The provisions of this § 1147.2 adopted January 25, 1980, effective February 1, 1980, 10 Pa.B. 264; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. 4418; amended August 3, 1990, effective immediately and apply retroactively to April 7, 1990, 20 Pa.B. 4196. Immediately preceding text appears at serial pages (130960) to (130961).

Notation

Cross References

This section cited in 55 Pa. Code § 1147.11 (relating to types of services covered); and 55 Pa. Code § 1147.53 (relating to limitations on payment).