New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 62 - VISION CARE SERVICES MANUAL
Subchapter 1 - EYE CARE: PROFESSIONAL SERVICES
Section 10:62-1.5 - Comprehensive eye examination

1. Detailed case history;

2. Complete visual acuity findings;

3. External and internal (ophthalmoscopic) examination including slit lamp;

4. Refraction, objective and subjective;

5. Extra-ocular measurement;

6. Gross visual fields, central and peripheral;

7. Tonometry when indicated for patients under 35; tonometry is mandatory for all patients over 35. The specific method used should be identified and recorded; the finger palpation test is not acceptable;

8. Binocular coordination testing (distance and near), fusion, steropsis, and color vision;

9. The diagnosis, including, but not limited to, ocular deficiency or deformity, visual or muscular anomaly; and

10. Recommendations.

1. Comprehensive eye examinations with diagnostic fields are not routinely reimbursable for complete comprehensive eye examination. Patients should be selected for this additional service based upon history and ophthalmologic findings during the examination if the physical examination suggests the presence of optic or motor nerve abnormalities, or if other significant physical findings are present and documented, diagnostic visual field studies may be selectively employed to establish or to confirm the diagnosis and/or the degree of impairment.

2. A comprehensive eye examination with or without diagnostic fields shall be limited to once a year.