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Rule 20:50 OPTOMETRY

ARTICLE 20:50

OPTOMETRY

Chapter

20:50:01             Definitions.

20:50:02             Examinations of candidates.

20:50:03             Optometric schools.

20:50:04             Code of ethics.

20:50:05             Advertising.

20:50:06             Office and equipment requirements.

20:50:07             Minimum examination.

20:50:08             Continuing education requirements.

20:50:09             Petitions for rules, Superseded or repealed.

20:50:10             Prescribing of contact lenses.

20:50:11             Corporate practice.


Rule 20:50:01 DEFINITIONS

CHAPTER 20:50:01

DEFINITIONS

Section

20:50:01:01        Definitions.


Rule 20:50:01:01 Definitions.

          20:50:01:01.  Definitions. Words defined in SDCL 36-7 have the same meaning when used in this article. In addition the following words mean:

          (1)  "Board," the State Board of Examiners in Optometry of the state of South Dakota as provided for in SDCL 36-7-3 and 36-7-3.1; and

          (2)  "Practice," the practice of optometry as defined by SDCL 36-7-1.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-1.


CHAPTER 20:50:02

EXAMINATIONS OF CANDIDATES

Section

20:50:02:01                                       Time of examinations.

20:50:02:02                                       Filing of applications for examination.

20:50:02:03                                       Repealed.

20:50:02:03.01                                  Examination fees.

20:50:02:04                                       Examination subjects -- Admission to practice.

20:50:02:04.01 and 20:50:02:04.02  Repealed.

20:50:02:04.03                                  Endorsement certification.

20:50:02:04.04                                  Minimum educational requirements -- Pharmaceutical agents.

20:50:02:04.05 and 20:50:02:04.06  Repealed.

20:50:02:05                                       Transferred.

20:50:02:06                                       National Board of Examiners test required.

20:50:02:06.01                                  Passing grade.

20:50:02:07                                       Certificate of registration.

20:50:02:08                                       Annual renewal fees.


Rule 20:50:02:01 Time of examinations.

          20:50:02:01.  Time of examinations. The examinations for South Dakota state law and ethics shall be given upon request by an applicant.

 

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 31 SDR 101, effective January 19, 2005; 39 SDR 127, effective January 21, 2013.

          General Authority: SDCL 36-7-15(1), 36-7-15.1.

          Law Implemented: SDCL 36-7-11, 36-7-12.

 


Rule 20:50:02:02 Filing of applications for examination.

          20:50:02:02.  Filing of applications for examination. Applications for the right to take examinations shall be filed in the office of the secretary of the board upon forms to be furnished by the board.

          Source: SL 1975, ch 16, § 1; SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-11, 36-7-12.


Rule 20:50:02:03 Repealed.

          20:50:02:03.  Requirements of application for admission to practice examination fees.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:02:03.01 Examination fees.

          20:50:02:03.01.  Examination fees. The application fee for taking the initial examination, which includes the state law and ethics examination, is $175. An additional amount of $25 shall be paid upon the issuance of a certificate.

 

          Source: 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 13 SDR 44, effective October 20, 1986; 31 SDR 101, effective January 19, 2005; 39 SDR 127, effective January 21, 2013.

          General Authority: SDCL 36-7-12.

          Law Implemented: SDCL 36-7-12.

 


Rule 20:50:02:04 Examination subjects -- Admission to practice.

          20:50:02:04.  Examination subjects -- Admission to practice. The examination for admission to practice, which may be either written or oral, or both, shall cover subjects including but not limited to theoretical optics; visual science I; visual science II; ocular anatomy; ocular pathology; theory and practice of optometry; opthalmic optics; public health, community optometry, and optometric jurisprudence; ocular pharmacology and treatment; practical examination, diagnosis, and treatment; and South Dakota optometry law and ethics.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 13 SDR 44, effective October 20, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-11.


Rule 20:50:02:04.01 Repealed.

          20:50:02:04.01.  Examination subjects -- Topical pharmaceutical agents. Repealed.

 

          Source: 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; repealed, 39 SDR 127, effective January 21, 2013.

 


Rule 20:50:02:04.02 Repealed.

          20:50:02:04.02.  Examination fees -- Topical pharmaceutical agents.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; repealed, 31 SDR 101, effective January 19, 2005.


Rule 20:50:02:04.03 Endorsement certification.

          20:50:02:04.03.  Endorsement certification An applicant for licensure by endorsement must submit the application form and fee of $175 and meet all of the following conditions:

 

          (1)  Be licensed in good standing to practice optometry in a state or territory under U.S. jurisdiction that required passage of a written, entry-level examination at the time of initial licensure;

 

          (2)  Be licensed at the highest level of prescriptive authority possible in that jurisdiction;

 

          (3)  Have been actively engaged in the practice of optometry, including the use of therapeutic pharmaceutical agents, for at least five consecutive years immediately preceding making application under this section;

 

          (4)  Have submitted directly to the board all transcripts, reports, or other information the board requires; and

 

          (5)  Pass the written examination regarding the optometry laws and administrative rules governing optometrists in the state.

 

          The candidate must request any optometry licensing agency of any U.S. jurisdiction in which the applicant is licensed or has ever been licensed to practice optometry to provide reports directly to the board describing current standing and any past or pending actions taken with respect to the applicant's authority to practice optometry in those jurisdictions, including such actions as investigations, entering into consent agreements, suspensions, revocations, and refusals to issue or renew a license. Any application received from an optometrist who has been sanctioned by revocation of license by another optometric licensing jurisdiction shall be reviewed on a case by case basis by the board.

 

          The board retains the authority to require additional education, testing, or training prior to granting licensure under SDCL 36-7-13 when the competency of any applicant is in question. Any applicant who has previously been denied a license by the board shall apply for and meet all initial licensure requirements.

 

          Source: 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 21 SDR 35, effective August 30, 1994; 31 SDR 101, effective January 19, 2005; 32 SDR 225, effective July 5, 2006; 34 SDR 323, effective July 2, 2008.

          General Authority: SDCL 36-7-13, 36-7-15(3), 36-7-15.1, 36-7-15.2, 36-7-15.3, 36-7-31.

          Law Implemented: SDCL 36-7-13, 36-7-15.1, 36-7-15.2, 36-7-15.3, 36-7-31.

 

          Cross-Reference: Passing grade, § 20:50:02:06.01.

 


Rule 20:50:02:04.04 Minimum educational requirements -- Pharmaceutical agents.

          20:50:02:04.04.  Minimum educational requirements -- Pharmaceutical agents. For the purpose of fulfilling the minimum educational requirements set forth in SDCL 36-7-15.1 the board may approve prior classroom and clinical experience hours dealing with diagnosis and treatment of ocular disease. Clinical experience must be hours in the office or clinic of a licensed ophthalmologist or an optometrist certified to prescribe and administer diagnostic and therapeutic pharmaceutical agents in South Dakota.

          Source: 13 SDR 44, effective October 20, 1986; 31 SDR 101, effective January 19, 2005.

          General Authority: SDCL 36-7-15.1.

          Law Implemented: SDCL 36-7-15.1.


Rule 20:50:02:04.05 Repealed.

          20:50:02:04.05.  Certification requirements -- Pharmaceutical agents. Repealed.

 

          Source: 15 SDR 40, effective September 13, 1988; 17 SDR 199, effective June 30, 1991; 31 SDR 101, effective January 19, 2005; repealed, 39 SDR 127, effective January 21, 2013.

 


Rule 20:50:02:04.06 Repealed.

          20:50:02:04.06.  Certification requirements -- Glaucoma and ocular hypertension -- Approved institutions. Repealed.

 

          Source: 20 SDR 209, effective July 1, 1994; repealed, 39 SDR 127, effective January 21, 2013.

 


Rule 20:50:02:05 Transferred.

          20:50:02:05.  Transferred to § 20:50:02:06.01.


Rule 20:50:02:06 National Board of Examiners test required.

          20:50:02:06.  National Board of Examiners test required. Satisfactory passing of examinations as certified by the National Board of Examiners in Optometry in any of the subjects required by § 20:50:02:04 and satisfactory passing of the national pharmacology test is required. The board may require all candidates to take additional tests on any subjects listed in § 20:50:02:04, including the National Board of Clinical Skills examination. Candidates' applications shall show when they took the national board examinations and the subjects covered. The examinations must have been passed within the five years before the date of South Dakota licensure.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 17 SDR 199, effective June 30, 1991.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-12, 36-7-12.1.


Rule 20:50:02:06.01 Passing grade.

          20:50:02:06.01.  Passing grade. The board may accept certification of a passing examination grade of an examination administered by a national board as evidence of an applicant having satisfied the requirements of § 20:50:02:06. On any examination administered by the board, a minimum grade of 75 percent in each subject must be achieved.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; transferred from §20:50:02:05, 17 SDR 199, effective June 30, 1991.

          General Authority:SDCL 36-7-15, 36-7-15.1.

          Law Implemented:SDCL 36-7-11, 36-7-12, 36-7-12.1, 36-7-15.2, 36-7-15.3.


Rule 20:50:02:07 Certificate of registration.

          20:50:02:07.  Certificate of registration. After a candidate has successfully passed the examination, the certificate of registration for admission to practice shall not be issued until the candidate has secured and equipped an office within the state of South Dakota meeting the minimum requirements of § 20:50:06:01 or has arranged a bona fide association with a registered optometrist licensed under the laws of the state of South Dakota who has an office meeting those requirements. The certificate of registration shall not be issued as a result of the examination unless the requirements of all sections of this article are met within one year from the date the candidate was notified of passing the examination. This section does not apply when the candidate is in or entering the military or other governmental service.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-12.

          Cross-Reference: Inspection of office, § 20:50:06:02.


Rule 20:50:02:08 Annual renewal fees.

          20:50:02:08.  Annual renewal fees. The annual renewal fee for licensed optometrists is $225 if paid by the first day of October of each year. The additional fee for reinstatement after a default, pursuant to SDCL 36-7-20, is $100.

 

          Source: 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 13 SDR 44, effective October 20, 1986; 31 SDR 101, effective January 19, 2005; 32 SDR 225, effective July 5, 2006.

          General Authority: SDCL 36-7-20.

          Law Implemented: SDCL 36-7-20.

 


Rule 20:50:03 OPTOMETRIC SCHOOLS

CHAPTER 20:50:03

OPTOMETRIC SCHOOLS

Section

20:50:03:01        Recognized optometric schools or colleges.


Rule 20:50:03:01 Recognized optometric schools or colleges.

          20:50:03:01.  Recognized optometric schools or colleges. The optometric schools or colleges referred to in SDCL 36-7-11(4) are those optometric schools or colleges certified by the Council on Optometric Education of the American Optometric Association as approved optometric schools or colleges as of June, 1985. Any schools or colleges certified after that date which meet the standards of certification in existence on June, 1985, may apply to the board for approval. Upon request, the board will provide a current list of approved institutions and curriculum as defined in SDCL 36-7-11(4) and 36-7-15.2.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-7-15, 36-7-15.2.

          Law Implemented:SDCL 36-7-11, 36-7-15.2.

          References: List of Accredited Optometric Educational Programs, June, 1985, Council on Optometric Education, American Optometric Association. Copies may be obtained from the Council on Optometric Education, American Optometric Association, 243 North Lindbergh Blvd., St. Louis, Missouri 63141; no cost for list.


Rule 20:50:04 CODE OF ETHICS

CHAPTER 20:50:04

CODE OF ETHICS

Section

20:50:04:01        Confidential communications.

20:50:04:02        Advising patient.

20:50:04:03        Serving as optician prohibited.

20:50:04:04        Maintenance of office.

20:50:04:05        Use of word "doctor."

20:50:04:05.01   Repealed.

20:50:04:06        Optometrist to write and release prescription -- Requests for medical records.

20:50:04:07        Claims of superiority.

20:50:04:08        Repealed.

20:50:04:09        Division of fees -- Payments to employees.

20:50:04:10        Repealed.

20:50:04:11        Improper relationships.

20:50:04:12        Scope of practice -- Procedural codes.

Appendix A   Procedural Codes List.


Rule 20:50:04:01 Confidential communications.

          20:50:04:01.  Confidential communications. All information received from the patient in the course of treatment shall be treated as a privileged communication and held inviolate.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-15(3).


Rule 20:50:04:02 Advising patient.

          20:50:04:02.  Advising patient. If, during the course of an examination of a patient, an optometrist discovers a health condition that should have care by persons outside the field of optometry, the optometrist shall so advise the patient.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-15(3).


Rule 20:50:04:03 Serving as optician prohibited.

          20:50:04:03.  Serving as optician prohibited. Optometrists shall not in any manner publicize themselves as or hold themselves forth as opticians.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-15(3).


Rule 20:50:04:04 Maintenance of office.

          20:50:04:04.  Maintenance of office. An office maintained for practice of optometry must be clean and sanitary. The office must be exclusive of any other business and must be physically disconnected from any commercial business or influence in the same building by use of floor-to-ceiling wall separations and a separate front entrance to the outside or to common hallways.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 21 SDR 35, effective August 30, 1994.

          General Authority:SDCL 36-7-15, 36-7-17.

          Law Implemented:SDCL 36-7-15(3).


Rule 20:50:04:05 Use of word "doctor."

          20:50:04:05.  Use of word "doctor." No optometrist, when using the title of "doctor" in advertising, may qualify it in any way other than by the use of the word "optometrist." When not using the title, optometrists may use after their names the letters "O.D." or the word "optometrist," or both. Approved listings include Dr. John Doe, Optometrist; John Doe, O.D., Optometrist; John Doe, Optometrist; and John Doe, O.D.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-15(3).


Rule 20:50:04:05.01 Repealed.

          20:50:04:05.01.  Conspicuous sign for optometrists certified to prescribe therapeutic drugs.Repealed.

          Source: 13 SDR 44, effective October 20, 1986; repealed, 31 SDR 101, effective January 19, 2005.


Rule 20:50:04:06 Optometrist to write and release prescription -- Requests for medical records.

          20:50:04:06.  Optometrist to write and release prescription -- Requests for medical records. If a patient for whom an optometrist has prescribed spectacle lenses so requests, the optometrist shall write out the prescription and deliver a copy of it to the patient. Requests for medical records are governed by SDCL 36-2-16.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-15(3), 36-7-19.


Rule 20:50:04:07 Claims of superiority.

          20:50:04:07.  Claims of superiority. Optometrists may not claim to have superior qualifications or to be superior to other similarly certified optometrists as to the equipment available for use in their practice or as to the quality of service they are able to render to their patients. An optometrist certified to prescribe and administer pharmaceutical agents may, however, indicate such qualifications.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 31 SDR 101, effective January 19, 2005.

          General Authority: SDCL 36-7-15.

          Law Implemented: SDCL 36-7-15(3).


Rule 20:50:04:08 Repealed.

          20:50:04:08.  Use of office for advertising.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:04:09 Division of fees -- Payments to employees..

          20:50:04:09.  Division of fees -- Payments to employees. An optometrist may not directly or indirectly divide, share, split, or allocate a fee for optometric services or materials with a layperson, firm, or corporation, or another optometrist or licensed medical practitioner except on the basis of a division of service or responsibility. This section does not prohibit any of the following:

 

          (1)  An optometrist from paying an employee in the regular course of employment;

 

          (2)  A practice established under the terms of SDCL chapter 47-11B; or

 

          (3)  An optometrist from being employed on a salary, with or without a bonus arrangement, by an optometrist or licensed medical practitioner, regardless of the amount of supervision exerted by the employer over the office in which the employee works. However, this bonus arrangement may not be based on the business or income of an optical company.

 

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 32 SDR 129, effective January 31, 2006.

          General Authority: SDCL 36-7-15(3).

          Law Implemented: SDCL 36-7-15(3).

 


Rule 20:50:04:10 Repealed.

          20:50:04:10.  Fees based on services rendered.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:04:11 Improper relationships.

          20:50:04:11.  Improper relationships. To ensure that the services provided by an optometrist to a patient are based solely on the optometrist's professional judgment and not influenced by other business considerations, the following business relationships are prohibited:

 

          (1)  An office rental, lease, or office space-sharing arrangement which by virtue of location causes the optometrist to be in violation of SDCL 36-7-17 by being directly employed by or connected with another person or entity other than an optometrist, ophthalmologist, or other licensed healing arts professional or in which the optometrist's office, location, or place of practice is owned, operated, supervised, staffed, directed, or attended by any other person, corporation, or entity not licensed to practice optometry, ophthalmology, or other healing arts in the state of South Dakota; and

 

          (2)  An arrangement or agreement, express or implied, with any firm, business, corporation, person, or other entity not licensed to practice optometry in this state which would interfere with the optometrist's independent ability to provide professional care for patients without outside influence.

 

          Nothing in this section shall be construed to prohibit a practice established under the terms of SDCL chapter 47-11B or affect referrals between persons authorized to practice medicine or optometry in the state of South Dakota.

 

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 21 SDR 35, effective August 30, 1994; 32 SDR 129, effective January 31, 2006.

          General Authority: SDCL 36-7-15, 36-7-17, 36-7-25.

          Law Implemented: SDCL 36-7-15(3).

 


Rule 20:50:04:12 Scope of practice -- Procedural codes.

          20:50:04:12.  Scope of practice -- Procedural codes. A licensed optometrist may perform the optometric clinical procedures listed in Appendix A.

 

          Source: 32 SDR 225, effective July 5, 2006.

          General Authority: SDCL 36-7-15(3).

          Law Implemented: SDCL 36-7-1, 36-7-15.

 


Rule 20:50:04:0A Procedural Code List.

 

 

 

 

 

 

 

 

 

 

 

 

DEPARTMENT OF HEALTH

 

OPTOMETRY

 

 

 

 

PROCEDURAL CODES LIST

 

 

Chapter 20:50:04

 

APPENDIX A

 

SEE: § 20:50:04:12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

          Source: 32 SDR 225, effective July 5, 2006; 34 SDR 101, effective October 18, 2007; 36 SDR 44, effective September 30, 2009; 39 SDR 127, effective January 21, 2013.


APPENDIX A

Optometric Clinical Procedures Approved by South Dakota Board of Optometry

(Within this Appendix, the word "Physician(s)" refers to Optometrist(s))

 

CPT Code

Description of Clinical Procedure

Notes/Comments

11200

Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions.

 

11201

Each additional ten lesions (list separately in addition to code for primary procedure).

 

17250

Chemical cauterization of granulation tissue (proud flesh, sinus or fistula).

 

65205

Removal of foreign body, external eye; conjunctival superficial.

 

65210

Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating.

 

65220

Removal of foreign body, external eye; corneal, without slit lamp.

 

65222

Removal of foreign body, external eye; corneal, with slit lamp.

 

65275

Repair of laceration; cornea, nonperforating, with or without removal foreign body.

 

65430

Scraping of cornea, diagnostic, for smear and/or culture.

 

65435

Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage).

 

65600

Multiple punctures of anterior cornea (e.g., for corneal erosion, tattoo).

 

66999

Unlisted procedure, anterior segment of eye.

 

67820

Correction of trichiasis; epilation, by forceps only.

 

67850

Destruction of lesion of lid margin (up to 1 cm).

 

67938

Removal of embedded foreign body, eyelid.

 

68020

Incision of conjunctiva, drainage of cyst.

 

68136

Destruction of lesion, conjunctiva.

 

68040

Expression of conjunctival follicles (e.g., for trachoma).

 

68761

Closure of the lacrimal punctum; by plug, each.

 

68801

Dilation of lacrimal punctum, with or without irrigation.

 

68810

Probing of nasolacrimal duct, with or without irrigation.

 

68840

Probing of lacrimal canaliculi, with or without irrigation.

 

76511

Ophthalmic ultrasound, echography, diagnostic; A-scan only, with amplitude quantification.

 

76512

Ophthalmic ultrasound, echography, diagnostic; contact B-scan (with or without simultaneous A-scan).

 

76514

Ophthalmic ultrasound, echography, diagnostic; corneal pachymetry unilateral or bilateral (determination of corneal thickness).

 

76516

Ophthalmic biometry by ultrasound echography, A-scan.

 

76519

Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation.

 

76529

Ophthalmic ultrasonic foreign body localization.

 

82785

Ige (allergy) tear film test.

 

83520

Unlisted tear immunoassay, e.g., lactoferrin.

 

92002

Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient.

 

92004

Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, one or more visits.

 

92012

Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient.

 

92014

Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, one or more visits.

 

92015

Determination of refractive state.

 

92018

Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; complete.

 

92020

Gonioscopy (separate procedure).

 

92025

Computerized corneal topography, unilateral or bilateral, with interpretation and report.

 

92060

Sensorimotor examination with multiple measurements of ocular deviation (e.g., restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure).

 

92065

Orthoptic and/or pleoptic training, with continuing medical direction and evaluation.

 

92071

Fitting of a contact lens for treatment of ocular surface disease.

 

92072

Fitting contact lens for management of keratoconus, initial fitting.

 

92081

Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (e.g., tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent).

 

92082

Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (e.g., at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshold screening program, Humphrey suprathreshold automatic diagnostic test, Octopus program 33).

 

92083

Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (e.g., Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2).

 

92100

Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (e.g., diurnal curve or medical treatment of acute elevation of intraocular pressure).

 

92120

Tonography with interpretation and report, recording indentation tonometer method or perilimbal suction method.

 

92130

Tonography with water provocation.

 

92133

Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; optic nerve.

 

92134

Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina.

 

92136

Ophthalmic biometry.

 

92140

Provocative tests for glaucoma, with interpretation and report, without tonography.

 

92225

Ophthalmoscopy, extended, with retinal drawing (e.g., for retinal detachment, melanoma), with interpretation and report; initial.

 

92226

Ophthalmoscopy, extended, with retinal drawing (e.g., for retinal detachment, melanoma), with interpretation and report; subsequent.

 

92250

Fundus photography with interpretation and report.

 

92260

Ophthalmodynamometry.

 

92270

Electro-oculography, with interpretation and report.

 

92275

Electroretinography, with interpretation and report.

 

92283

Color vision examination, extended, e.g., anomaloscope or equivalent.

 

92284

Dark adaptation examination, with interpretation and report.

 

92285

External ocular photography with interpretation and report for documentation of medical progress (e.g., close-up photography, slit lamp photography, goniophotography, stereo-photography).

 

92286

Special anterior segment photography with interpretation and report; with specular endothelial microscopy and cell count.

 

92310

Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes except for aphakia.

 

92311

Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, one eye.

 

92312

Corneal lens for aphakia, both eyes.

 

92313

Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneoscleral lens.

 

92314

Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens, both eyes, except for aphakia.

 

92315

Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, one eye.

 

92316

Corneal lens for aphakia, both eyes.

 

92317

Corneoscleral lens.

 

92325

Modification of contact lens (separate procedure), with medical supervision of adaptation.

 

92326

Replacement of contact lens.

 

92340

Fitting of spectacles, except for aphakia, monofocal.

 

92341

Bifocal.

 

92342

Multifocal, other than bifocal.

 

92352

Fitting of spectacle prosthesis for aphakia; monofocal.

 

92353

Multifocal.

 

92354

Fitting of spectacle mounted low vision aid; single element system.

 

92355

Telescopic or other compound lens system.

 

92358

Prosthesis service for aphakia, temporary (disposable loan, including materials).

 

92370

Repair and refitting spectacles; except aphakia.

 

92371

Spectacle prosthesis for aphakia.

 

92499

Unlisted ophthalmological service or procedure.

e.g., corneal topography

95930

Visual evoked potential (VEP) testing central nervous system, checkerboard or flash.

 

97530

Therapeutic activities, direct (one on one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes.

 

97532

Development of cognitive skills to improve attention, memory, problem solving, (includes compensatory training), direct (one-on-one) patient contact by the provider, each 15 minutes.

Low Vision

97533

Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact by the provider, each 15 minutes.

Low Vision

97535

Self-care/home management training (e.g., activities of daily living (ADL) and compensatory training meal preparation safety procedures and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact by provider, each 15 minutes.

Low Vision

97537

Community/work reintegration training (e.g., shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis), direct one-on-one contact by provider, each 15 minutes.

Low Vision

99050

Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (e.g., holidays, Saturday or Sunday), in addition to basic service.

 

99051

Services provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service.

 

99053

Services provided between 10 p.m. and 8 a.m. at 24 hour facility, in addition to basic service.

 

99070

Supplies and materials (except spectacles) provided by the physician over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided).

 

99172

Visual function screening, automated or semi-automated bilateral quantitative determination of visual acuity, ocular alignment, color vision by pseudiosochromatic plates, and field of vision (may include all or some screening of the determination(s) for contrast sensitivity, vision under glare).

(This service must employ graduated visual acuity stimuli that allow a quantitative determination of visual acuity (e.g., Snellen chart). This service may not be used in addition to a general ophthalmological service or an E/M service.)

 

99173

Screening test of visual acuity, quantitative, bilateral.

(The screening test used must employ graduated visual acuity stimuli that allow a quantitative estimate of visual acuity (e.g., Snellen chart). Other identifiable services unrelated to this screening test provided at the same time may be reported separately (e.g., preventive medicine services). When acuity is measured as part of a general ophthalmological service or of an E/M service of the eye, it is a diagnostic examination and not a screening test.)

 

99201

Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problems are self-limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.

 

99202

Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: an expanded problem focused history; an expanded problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.

 

99203

Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family.

 

99204

Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family.

 

99205

Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family.

 

99211

Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.

 

99212

Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a problem focused history; a problem focused examination; straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.

 

99213

Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.

 

99214

Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a detailed history; a detailed examination; medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.

 

99215

Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family.

 

99241

Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family' needs. Usually, the presenting problem(s) are self-limited or minor. Physicians typically spend 15 minutes face-to-face with the patient and/or family.

 

99242

Office consultation for a new or established patient, which requires these three key components: an expanded problem focused history; an expanded problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family.

 

99243

Office consultation for a new or established patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family.

 

99244

Office consultation for a new or established patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family' needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family.

 

99245

Office consultation for a new or established patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 80 minutes face-to-face with the patient and/or family.

 

99307

Subsequent nursing facility care, per day, for the evaluation and management of a new or established patient, which requires at least two of these three key components: a problem focused interval history; a problem focused examination; medical decision making that is straightforward. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving.

 

99308

Subsequent nursing facility care, per day, for the evaluation and management of a new or established patient, which requires at least two of these three key components: an expanded problem focused interval history; an expanded problem focused examination; medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication.

 

99309

Subsequent nursing facility care, per day, for the evaluation and management of a new or established patient, which requires at least two of these three key components: a detailed interval history; a detailed examination; medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient has developed a significant complication or a significant new problem.

 

99310

Subsequent nursing facility care, per day, for the evaluation and management of a new or established patient, which requires at least two of these three key components: a comprehensive interval history; a comprehensive examination; medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention.

 

99324

Domiciliary or rest home visit for the evaluation and management of a new patient which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Physicians typically spend 20 minutes with the patient and/or family or caregiver.

 

99325

Domiciliary or rest home visit for the evaluation and management of a new patient which requires these three key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes with the patient and/or family or caregiver.

 

99326

Domiciliary or rest home visit for the evaluation and management of a new patient which requires these three key components: a detailed history; a detailed examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes with the patient and/or family or caregiver.

 

99327

Domiciliary or rest home visit for the evaluation and management of a new patient which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Physicians typically spend 60 minutes with the patient and/or family or caregiver.

 

99328

Domiciliary or rest home visit for the evaluation and management of a new patient which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Physicians typically spend 75 minutes with the patient and/or family or caregiver.

 

99334

Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least two of these three key components: a problem focused interval history; a problem focused examination; straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self-limited or minor. Physicians typically spend 15 minutes with the patient and/or family or caregiver.

 

99335

Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least two of these three key components: an expanded problem focused interval history; an expanded problem focused examination; medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 25 minutes with the patient and/or family or caregiver.

 

99336

Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least two of these three key components: a detailed interval history; a detailed examination; medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes with the patient and/or family or caregiver.

 

99337

Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least two of these three key components: a comprehensive interval history; a comprehensive examination; medical decision making of moderate to high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Physicians typically spend 60 minutes with the patient and/or family or caregiver.

 

99341

Home visit for the evaluation and management of a new patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.

 

99342

Home visit for the evaluation and management of a new patient, which requires these three key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family.

 

99343

Home visit for the evaluation and management of a new patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family.

 

99344

Home visit for the evaluation and management of a new patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family.

 

99345

Home visit for the evaluation and management of a new patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Physicians typically spend 75 minutes face-to face with the patient and/or family.

 

99347

Home visit for the evaluation and management of an established patient, which requires at least two of these three key components: a problem focused interval history; a problem focused examination; straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self-limited or minor. Physicians typically spend 15 minutes face-to-face with the patient and/or family.

 

99348

Home visit for the evaluation and management of an established patient, which requires at least two of these three key components: an expanded problem focused interval history; an expanded problem focused examination; medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.

 

99349

Home visit for the evaluation and management of an established patient, which requires at least two of these three key components: a detailed interval history; a detailed examination; medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family.

 

99350

Home visit for the evaluation and management of an established patient, which requires at least two of these three key components: a comprehensive interval history; a comprehensive examination; medical decision making of moderate to high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Physicians typically spend 60 minutes face-to-face with the patient and/or family.

 

99354

Prolonged physician service in the office or other outpatient setting requiring direct (face-to-face) patient contact beyond the usual service (e.g., prolonged care and treatment of an acute asthmatic patient in an outpatient setting); first hour. (List separately in addition to code for office or other outpatient Evaluation and Management service).

 

99355

Each additional 30 minutes. (List separately in addition to code for prolonged physician service).

 

99499

Other Unlisted Evaluation and Management Services.

 

A4263

Permanent, long-term, non-dissolvable lacrimal duct implant, each.

 

GO117

Glaucoma screening for high-risk patients furnished by an optometrist or ophthalmologist.

 

GO118

Glaucoma screening for high-risk patients furnished under the direct supervision of an optometrist or ophthalmologist.

 

XXXXX-55

Ophthalmic surgery co-management/postoperative care.

 

S0500

Disposable contact lens, per lens.

 

S0504

Single vision prescription lens (safety, athletic, or sunglass), per lens.

 

S0506

Bifocal vision prescription lens (safety, athletic, or sunglass), per lens.

 

S0508

Trifocal vision prescription lens (safety, athletic, or sunglass) per lens.

 

S0510

Non-prescription lens (safety, athletic, or sunglass), per lens.

 

S0512

Daily wear specialty contact lens, per lens.

 

S0514

Color contact lens, per lens.

 

S0516

Safety eyeglass frames.

 

S0518

Sunglasses frames.

 

S0580

Polycarbonate lens.

 

S0581

Nonstandard lens.

 

S0590

Integral lens service, miscellaneous services reported separately.

 

S0592

Comprehensive contact lens evaluation.

 

S0620

Routine ophthalmological examination including refraction; new patient.

 

S0621

Routine ophthalmological examination including refraction; established patient.

 

S0820

Computerized corneal topography, unilateral.

 

S0830

Ultrasound pachymetry to determine corneal thickness, with interpretation and report, unilateral.

 

 

Optometric Clinical Procedures Approved by South Dakota Board of Optometry

(these codes require hospital privileges)

 

CPT Code

Description of Clinical Procedure

Notes/Comments

99221

Initial hospital care, per day, for the evaluation and management of a patient which requires these three key components: a detailed or comprehensive history; a detailed or comprehensive examination; and medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problems(s) and the patient's and/or family's needs. Usually, the problems requiring admission are of low severity. Physicians typically spend 30 minutes at the bedside and on the patient's hospital floor or unit.

 

99222

Initial hospital care, per day, for the evaluation and management of a patient which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problems requiring admission are of moderate severity. Physicians typically spend 50 minutes at the bedside and on the patient's hospital floor or unit.

 

99223

Initial hospital care, per day, for the evaluation and management of a patient which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problems requiring admission are of high severity. Physicians typically spend 70 minutes at the bedside and on the patient's hospital floor or unit.

 

99231

Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least two of these three key components: a problem focused interval history; a problem focused examination; medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Physicians typically spend 15 minutes at the bedside and on the patient's hospital floor or unit.

 

99232

Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least two of these three key components: an expanded problem focused interval history; an expanded problem focused examination; medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 25 minutes at the bedside and on the patient's hospital floor or unit.

 

99233

Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least two of these three key components: a detailed interval history; a detailed examination; medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Physicians typically spend 35 minutes at the bedside and on the patient's hospital floor or unit.

 

99234

Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date which requires these three key components: a detailed or comprehensive history; a detailed or comprehensive examination; and medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of low severity.

 

99235

Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of moderate severity.

 

99238

Hospital discharge day management; 30 minutes or less.

 

99239

Hospital discharge day management; more than 30 minutes.

 

99251

Initial inpatient consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 20 minutes at the bedside and on the patient's hospital floor or unit.

 

99252

Initial inpatient consultation for a new or established patient, which requires these three key components: an expanded problem focused history, an expanded problem focused examination, and straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Physicians typically spend 40 minutes at the bedside and on the patient's hospital floor or unit.

 

99253

Initial inpatient consultation for a new or established patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 55 minutes at the bedside and on the patient's hospital floor or unit.

 

99254

Initial inpatient consultation for a new or established patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 80 minutes at the bedside and on the patient's hospital floor or unit.

 

99255

Initial inpatient consultation for a new or established patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 110 minutes at the bedside and on the patient's hospital floor or unit.

 

99281

Emergency department visit for the evaluation and management of a patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor.

 

99282

Emergency department visit for the evaluation and management of a patient, which requires these three key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low or moderate severity.

 

99283

Emergency department visit for the evaluation and management of a patient, which requires these three key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity.

 

99284

Emergency department visit for the evaluation and management of a patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician but do not pose-an immediate significant threat to life or physiologic function.

 

99285

Emergency department visit for the evaluation and management of a patient, which requires these three key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity, and pose an immediate significant threat to life or physiologic function.

 

99356

Prolonged physician service in the inpatient setting, requiring direct (face-to-face) patient contact beyond the usual service (e.g.), maernal fetal monitoring for high risk delivery or other physiological monitoring, prolonged care of an acutely ill inpatient), first hour (List separately in addition to code for inpatient Evaluation and Management service).

 

99357

Each additional 30 minutes (List separately in addition to code for prolonged physician service).

 

 


 


Rule 20:50:05 ADVERTISING

CHAPTER 20:50:05

ADVERTISING

Section

20:50:05:01                           Advertising.

20:50:05:02 to 20:50:05:09    Repealed.

          Cross Reference: It is a violation of the Federal Trade Commission Act for any state agency to enforce any prohibition on the dissemination of information concerning ophthalmic goods and services or eye examinations, 16 C.F.R. chapter 1, subchapter D, § 456.3.


Rule 20:50:05:01 Advertising.

          20:50:05:01.  Advertising. False, fraudulent, deceptive, misleading, or sensational advertising is prohibited. Advertising, whether paid for or not, is considered prohibited under this section if it meets any of the following criteria:

 

          (1)  Contains a misrepresentation of fact or omits a material fact necessary to prevent deception or misrepresentation;

 

          (2)  Promises relief or recovery unobtainable by the average patient by the methods publicized;

 

          (3)  Contains a testimonial pertaining to quality or efficacy of optometric care of services that does not represent typical experiences of other patients;

 

          (4)  Is intended or is likely to create false or unjustified expectations of favorable results;

 

          (5)  Contains a claim that the optometrist possesses skills, provides services, or uses procedures superior to those of other optometrists with similar training, unless the claim can be factually substantiated by scientific and accepted evidence;

 

          (6)  Takes advantage of a person's fears, vanity, anxiety, or similar emotions;

 

          (7)  Contains a claim that is likely to deceive or mislead the average member of the public to whom it is directed;

 

          (8)  Contains a false or misleading prediction or implication that a satisfactory result or cure will result from performance of professional services;

 

          (9)  Contains a claim that the optometrist uses or provides products which are superior unless claims can be factually substantiated by scientific and accepted evidence;

 

          (10)  Describes availability of products, procedure, or services which are not permitted by law;

 

          (11)  Is likely to attract patients by use of exaggerated claims;

 

          (12)  Contains a statement of uninvited direct solicitation of patients who, because of their particular circumstances, are vulnerable to undue influences;

 

          (13)  Fails to be identified as a paid announcement or solicitation when it is not apparent from the context that it is a paid announcement or solicitation, including but not limited to advertising giving the impression it is a news story or an informational article; or

 

          (14)  Contains a statement of fees charged for specific professional services but fails to indicate whether additional fees may be required for related services which may also be required.

 

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 13 SDR 44, effective October 20, 1986; 39 SDR 127, effective January 21, 2013.

          General Authority: SDCL 36-7-15.

          Law Implemented: SDCL 36-7-19.

 


Rule 20:50:05:02 Repealed.

          20:50:05:02.  Advertising by new registrant or old registrants changing location.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:05:03 Repealed.

          20:50:05:03.  Advertising change of hours.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:05:04 Repealed.

          20:50:05:04.  Mailed announcements.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:05:05 Repealed.

          20:50:05:05.  Use of name by others.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:05:06 Repealed.

          20:50:05:06.  Notice of change of location.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:05:07 Repealed.

          20:50:05:07.  External signs.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:05:08 Repealed.

          20:50:05:08.  Types of advertising prohibited.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:05:09 Repealed.

          20:50:05:09.  Limitations on certain advertising.Repealed.

          Source: 6 SDR 66, effective January 8, 1980; repealed, 12 SDR 78, effective November 10, 1985.


Rule 20:50:06 OFFICE AND EQUIPMENT REQUIREMENTS

CHAPTER 20:50:06

OFFICE AND EQUIPMENT REQUIREMENTS

Section

20:50:06:01        Minimum office equipment.

20:50:06:02        Inspection of office.


Rule 20:50:06:01 Minimum office equipment.

          20:50:06:01.  Minimum office equipment. The minimum equipment with which licensed optometrists shall operate their offices and engage in the practice of optometry consists of the following items, all of which shall be kept in good condition:

 

          (1)  Ophthalmic chair and instrument unit;

          (2)  Retinoscope;

          (3)  Ophthalmoscope;

          (4)  Phoropter;

          (5)  Keratometer;

          (6)  Trial lens set;

          (7)  Trial frame;

          (8)  Transilluminator;

          (9)  Projector chart or other luminous acuity chart;

          (10)  Biomicroscope;

          (11)  Instrument to evaluate intraocular pressure;

          (12)  Permanent patient record system;

          (13)  Visual fields instrument;

          (14)  Color vision test equipment; and

          (15)  Sanitary lavatory basin.

 

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 34 SDR 101, effective October 18, 2007.

          General Authority: SDCL 36-7-15(3).

          Law Implemented: SDCL 36-7-15.

 


Rule 20:50:06:02 Inspection of office.

          20:50:06:02.  Inspection of office. Within 60 days following the establishment of a practice of optometry in this state, a new licensee shall inform the secretary of the board. At least one member of the board shall conduct an inspection of the office facility and procedures. This section and § 20:50:06:01 also apply to an optometrist admitted under endorsement provisions or a licensed optometrist who changes location or opens an additional office. The inspection of the office of an optometrist previously licensed in this state is at the option of the board.

 

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 21 SDR 35, effective August 30, 1994; 34 SDR 101, effective October 18, 2007.

          General Authority: SDCL 36-7-15(3).

          Law Implemented: SDCL 36-7-13, 36-7-15(3).

 

          Cross-Reference: Certificate of registration, § 20:50:02:07.

 


Rule 20:50:07 MINIMUM EXAMINATION

CHAPTER 20:50:07

MINIMUM EXAMINATION

Section

20:50:07:01        Minimum optometric examination.


Rule 20:50:07:01 Minimum optometric examination.

          20:50:07:01.  Minimum optometric examination. The minimum optometric examination shall consist of the following:

 

          (1)  Patient case history and visual acuity;

          (2)  Internal and external ocular examination;

          (3)  Objective and subjective analysis of refractive error;

          (4)  Analysis of accommodation, convergence, and fusional ability;

          (5)  Tonometry; and

          (6)  Where indicated by case history and findings produced by the current examination, any additional tests that should be performed to enable the optometrist to advise the patient and prescribe for or refer, as indicated.

 

          Failure to make or supervise the minimum examination in all cases and to keep a permanent record of it is unprofessional conduct unless there are professional reasons to the contrary.

 

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 13 SDR 44, effective October 20, 1986; 39 SDR 127, effective January 21, 2013.

          General Authority: SDCL 36-7-15.

          Law Implemented: SDCL 36-7-1, 36-7-15.

 


Rule 20:50:08 CONTINUING EDUCATION REQUIREMENTS

CHAPTER 20:50:08

CONTINUING EDUCATION REQUIREMENTS

Section

20:50:08:01        Continuing education requirements.

20:50:08:02        Acceptable courses of study.

20:50:08:02.01   Limits on self-directed learning.

20:50:08:02.02   Limits on self-directed learning for continuing pharmaceutical education.

20:50:08:02.03   Limits on continuing education courses in practice management.

20:50:08:03        Repealed.

20:50:08:04        Obtaining evidence of compliance.

20:50:08:05        Repealed.


Rule 20:50:08:01 Continuing education requirements.

          20:50:08:01.  Continuing education requirements. To be eligible for the renewal of the initial license to practice in this state and for each annual renewal thereafter, an optometrist must complete 45 hours of continuing education as defined in SDCL 36-7-20.1 and 36-7-20.4 within each three-year period after the date of initial licensure. The board shall make at least 12 hours of continuing education courses available each year.

 

          Those optometrists certified to use pharmaceutical agents for diagnostic or therapeutic purposes must complete 5 hours annually of continuing pharmaceutical education in the area of diagnosis and treatment of ocular disease to be eligible for renewal of certification. The 5 hours of annual pharmaceutical education count toward the 45 hours required each three years.

 

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 13 SDR 44, effective October 20, 1986; 15 SDR 40, effective September 13, 1988; 17 SDR 199, effective June 30, 1991; 21 SDR 35, effective August 30, 1994; 31 SDR 101, effective January 19, 2005; 37 SDR 133, effective January 18, 2011.

          General Authority: SDCL 36-7-15(4), 36-7-15.1.

          Law Implemented: SDCL 36-7-15.1, 36-7-20, 36-7-20.1, 36-7-20.2, 36-7-20.4.

 


Rule 20:50:08:02 Acceptable courses of study.

          20:50:08:02.  Acceptable courses of study. The board shall approve, at each annual meeting, a list of acceptable out-of-state courses of study that may be taken in lieu of courses provided within the state. In addition, other meetings and seminars either within or without the state may be approved in advance by the board. A request for approval must be made at least 15 days before the meeting or seminar. The board may approve out-of-state courses if they are substantially equivalent to those offered in the state. The board may approve courses on the following subjects or similar suitable subjects as determined by the board;

          (1)  Binocular vision and perception;

          (2)  Pathology;

          (3)  Contact lenses;

          (4)  Pharmacology;

          (5)  Low vision;

          (6)  Vision training or vision therapy;

          (7)  Pediatric vision care;

          (8)  Geriatric vision care;

          (9)  New instrumentation and techniques;

          (10)  Public health and optometric care; and

          (11)  Optometric examinations, diagnosis, and treatment.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 24 SDR 91, effective January 6, 1998.

          General Authority:SDCL 36-7-15(4).

          Law Implemented:SDCL 36-7-20.1, 36-7-20.2.


Rule 20:50:08:02.01 Limits on self-directed learning.

          20:50:08:02.01.  Limits on self-directed learning. No more than nine hours of self-directed learning may be credited to a licensee in a three-year period to fulfill continuing education requirements. The number of credit hours is limited for each self-directed learning category as follows:

 

          (1)  Surgical/ophthalmologist observation -- one hour credit for every two hours of observation, up to four hours credit. The board must be provided documentation signed by the ophthalmologist evidencing the observation;

 

          (2)  Video, recorded webinars, and teleconferences -- up to two hours credit. The course must be proctored to receive credit;

 

          (3)  Correspondence courses from colleges or occupational journals -- up to four hours credit. The course must have self-testing to receive credit;

 

          (4)  Live webinars -- up to four hours credit. A certificate of attendance stating it is a live webinar must be provided to the board in order to receive live webinar credit.

 

          Source: 24 SDR 91, effective January 6, 1998; 37 SDR 133, effective January 18, 2011.

          General Authority: SDCL 36-7-15(4).

          Law Implemented: SDCL 36-7-20.1, 36-7-20.2.

 


Rule 20:50:08:02.02 Limits on self-directed learning for continuing pharmaceutical education.

          20:50:08:02.02.  Limits on self-directed learning for continuing pharmaceutical education. Subject to § 20:50:08:02.01, those optometrists certified to use pharmaceutical agents for diagnostic or therapeutic purposes may not use more than two hours of instruction obtained through self-directed learning, to fulfill the annual requirement of five hours of continuing pharmaceutical education.

 

          Source: 24 SDR 91, effective January 6, 1998; 31 SDR 101, effective January 19, 2005; 37 SDR 133, effective January 18, 2011.

          General Authority: SDCL 36-7-15.1.

          Law Implemented: SDCL 36-7-15.1.

 


Rule 20:50:08:02.03 Limits on continuing education courses in practice management.

          20:50:08:02.03.  Limits on continuing education courses in practice management. In a three-year period, no more than four hours of instruction in the management of an optometric practice may be used to fulfill continuing education requirements.

          Source: 24 SDR 91, effective January 6, 1998.

          General Authority:SDCL 36-7-15(4).

          Law Implemented:SDCL 36-7-20.1, 36-7-20.2.


Rule 20:50:08:03 Repealed.

          20:50:08:03.  Courses of study not acceptable.Repealed.

          Source: SL 1975, ch 16, § 1; repealed, 6 SDR 66, effective January 8, 1980.


Rule 20:50:08:04 Obtaining evidence of compliance.

          20:50:08:04.  Obtaining evidence of compliance. To show compliance with educational requirements each registered optometrist shall obtain evidence of attendance or completion from the sponsoring organization for each course. Documentation must be signed by a representative of the institution or organization or by the speaker or instructor presenting the course and must show the date of attendance or completion of the course, the speaker or instructor, the location of the course or the medium used for instruction, and the hours in attendance or required for completion. The evidence of compliance must accompany the registrant's application for renewal of license.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 24 SDR 91, effective January 6, 1998.

          General Authority:SDCL 36-7-15(4).

          Law Implemented:SDCL 36-7-20.1, 36-7-20.2.


Rule 20:50:08:05 Repealed.

          20:50:08:05.  Special requirements for inactive or out-of-state licenses. Repealed.

 

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; repealed, 34 SDR 101, effective October 18, 2007.

 


Rule 20:50:09 PETITIONS FOR RULES

CHAPTER 20:50:09

PETITIONS FOR RULES

Section

20:50:09:01 and 20:50:09:02  Superseded.

20:50:09:03                                Repealed.


Rule 20:50:09:01 Superseded.

          20:50:09:01.  Petition for new rules.Superseded.


Rule 20:50:09:02 Superseded.

          20:50:09:02.  Board action on request.Superseded.

          Commission Note:SDCL 1-26-13 provides a statutory procedure to use for petitioning an agency for amendments to its rules, thus effectively superseding the above two sections.


Rule 20:50:09:03 Repealed.

          20:50:09:03.  Request for decision from board.Repealed.

          Source: SL 1975, ch 16, § 1; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; repealed, 15 SDR 40, effective September 13, 1988.


Rule 20:50:10 PRESCRIBING OF CONTACT LENSES

CHAPTER 20:50:10

PRESCRIBING OF CONTACT LENSES

Section

20:50:10:01        Acts constituting prescribing of contact lenses.

20:50:10:02        Provision of contact lens prescription.


Rule 20:50:10:01 Acts constituting prescribing of contact lenses.

          20:50:10:01.  Acts constituting prescribing of contact lenses. Any of the following shall constitute the prescribing of contact lenses except when performed by or under the direction of and direct physical supervision of a person licensed under SDCL 36-4:

          (1)  Determining whether or not a patient may safely and comfortably wear contact lenses;

          (2)  Evaluating the physical fit of a contact lens through use of a "black light" and fluorescein or any similar substance;

          (3)  Evaluating the physical fit of a contact lens through the use of a biomicroscope or a similar instrument with magnification qualities;

          (4)  Using a phoropter, hand-held lens, or any automated instrument for the purpose of determining the prescription or change in prescription necessary in a contact lens;

          (5)  Using a spectacle prescription or a prescription determined through the use of a vertometer, or its equivalent, on a pair of spectacles as a basis for designing, manufacturing, or duplicating a new contact lens;

          (6)  Prescribing a schedule of time for wearing of contact lenses for a patient;

          (7)  Measuring and evaluating the curvature of the cornea through any means by any instrument including photographic, mechanical, or reflected light methods; and

          (8)  Determining the type and design of contact lenses and care procedure for the wearing of contact lenses.

          Source: 3 SDR 92, effective July 12, 1977; 6 SDR 66, effective January 8, 1980; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 13 SDR 44, effective October 20, 1986.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-1.


Rule 20:50:10:02 Provision of contact lens prescription.

          20:50:10:02.  Provision of contact lens prescription. A person licensed under SDCL chapter 36-7 may not issue a validated contact lens prescription until a licensed optometrist has completed follow-up evaluation of the contact lens design on the patient's eye to assure the compatibility of the lens to the eye and the patient's ocular health.

          After the completion of the follow-up evaluation by the licensed optometrist, if the patient requests, in writing, a copy of the contact lens specifications pursuant to SDCL 36-2-16, the prescribing optometrist shall provide a copy of the validated prescription. The optometrist shall clearly state the expiration date on the prescription.

          If a patient refuses to permit the prescribing optometrist to complete a follow-up evaluation, the prescribing optometrist shall deliver a nonvalidated prescription to the patient that includes a statement that the prescription cannot be validated without follow-up evaluation.

          Source: 21 SDR 35, 21 SDR 50, effective January 1, 1995.

          General Authority:SDCL 36-7-15.

          Law Implemented:SDCL 36-7-1.


CHAPTER 20:50:11

CORPORATE PRACTICE

Section

20:50:11:01        Application for registration.

20:50:11:02        Professional corporation -- Admitting shareholder.

20:50:11:03        Renewal of certificate of registration.


Rule 20:50:11:01 Application for registration.

          20:50:11:01.  Application for registration. Initial applications for registration for professional corporations shall include the following:

          (1)  Name and address of the corporation;

          (2)  A copy of its certificate of incorporation;

          (3)  A copy of its articles of incorporation;

          (4)  A copy of the minutes of its organizational meeting;

          (5)  A copy of the corporation's insurance binder;

          (6)  A registration fee of $50; and

          (7)  A sworn statement from the president of the corporation stating that the corporation will not hold itself out to the public as possessing any skills or expertise not possessed by optometrists in noncorporate practice.

          Source: 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 47-11B-23.

          Law Implemented:SDCL 47-11B-8, 47-11B-9, 47-11B-18.


Rule 20:50:11:01 Application for registration.

          20:50:11:02.  Professional corporation -- Admitting shareholder. At least 30 days before admitting a new shareholder or member, the corporation shall notify the board in writing of its intention, indicating the identity, licensure status, and residence address of the new shareholder or member.

 

          Source: 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority: SDCL 47-11B-23.

          Law Implemented: SDCL 47-11B-3.

 


Rule 20:50:11:03 Renewal of certificate of registration.

          20:50:11:03.  Renewal of certificate of registration. Each registered corporation shall submit to the board by December 1 of each year an application for renewal of its certificate of registration. The application fee as required by SDCL 47-11B-13 shall accompany the application.

 

          Source: 12 SDR 78, effective November 10, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority: SDCL 47-11B-23.

          Law Implemented: SDCL 47-11B-13.

 


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