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Billing code

C930A — Uveitis and ocular inflammatory disease consultation – hospital in-patient

Uveitis in-patient consultation

Bill for a uveitis or ocular inflammatory disease consultation on a hospital in-patient by a fellowship-trained ophthalmologist.

Watch for: Document the dilated fundus exam and lab and imaging analysis, and include the referrer's billing number.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$0.00$157.00$0.00$0.00$0.00
Code
C930A
Description
Uveitis and ocular inflammatory disease consultation – hospital in-patient
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

Uveitis and ocular inflammatory disease consultation for a hospital in-patient, under the same conditions as A930.

What it covers

The in-patient version of A930, subject to the same conditions (A162).

Only for a patient with a uveitis, ocular inflammatory or orbital inflammatory disorder, by an ophthalmologist with fellowship training in uveitis and ocular inflammatory diseases, with a dilated fundus exam and analysis of lab and imaging studies documented (A154).

Billing rules

  • Same conditions as A930: fellowship training, qualifying diagnosis, and required documentation (A162, A154).
  • Consultation rules and limits apply (GP16–GP18).
  • In-patient rules apply (GP40–GP48). For emergency calls and other special visits to in-patients, use the general listings (A-prefix) and special visit premiums instead (A162).
  • Age premiums for patients under 16 apply (GP64).
  • Not listed in Appendix J, so not payable as a virtual service (AJ1–AJ2).

Common rejections

  • ARF: The claim is missing the referring provider's number. A consultation needs a written request that names the referring physician or nurse practitioner and their billing number (GP16).

Related codes: A930, A931, W930, C235, C231

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Ophthalmology (23), page A162.

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