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Billing code

A254A — Follow-up Vision Rehabilitation Assessment

Low vision rehabilitation follow-up

An ophthalmologist bills A254 for a follow-up vision rehabilitation visit after an A252, doing at least 3 of the 8 listed components.

Watch for: Only payable after an A252, and limited to 10 per patient in the 5 years after the most recent A252.

Code

A254A

Description

Follow-up Vision Rehabilitation Assessment

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Follow-up vision rehabilitation visit by an ophthalmologist for a patient with low vision, after an initial A252. At least 3 of 8 listed components.

What it covers

A follow-up vision rehabilitation assessment for a patient with low visual acuity, a visual field defect or significant oculomotor dysfunction that is not amenable to further medical or surgical treatment (A157). Low visual acuity means best corrected acuity of 20/50 (6/15) or less in the better eye (A157).

At least 3 of the 8 components listed for the initial assessment must be done at the same visit. They include assessing residual visual function, eccentric preferred retinal loci, near functional acuity and reading skills, prescribing low vision devices, preparing a rehabilitation plan and supervised training (A157).

Billing rules

• Payable only when the patient has already received an A252 initial vision rehabilitation assessment (A157).
• Limited to 10 per patient per 5-year period, counted from the date of the most recent A252 (A158).
• No other assessment or consultation by the same physician for the same patient on the same day is payable (A157).
• If fewer than 3 components are done, the service pays at a lesser fee (A158).
• Diagnostic services such as visual field testing can be billed in addition when done (A158).
• Not listed in Appendix J, so it cannot be billed as a virtual service (AJ1–AJ2).

Often billed with

• Visual field testing, for example G858/G432 static or G857/G436 kinetic fields (A158, J91).

Common rejections

• AM1: Service limit exceeded: A254 is limited to 10 per patient in the 5 years after the most recent A252 (A158).

Related codes: A252, A251, A233, A234, G858, G432, G857, G436

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Ophthalmology (23), page A157. Payment rules continue on A158.

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