Explanation for Refusal of RoadSafetyBC Form Fee - Optometrists

The following chart is intended to assist optometrists in understanding why a claim for an OSMV Form Fee was refused by MSP.

Refused Fee Item	Reason for the Refusal	Explanatory Code
96223, 96224, 96225	A claim for one of these fee items has been paid to another practitioner on the same date of service.	HJ
96223	There is a paid claim for 96224 or 96225 on the same date of service by the same practitioner.	MW
96224	There is a paid claim for 96223 or 96225 on the same date of service by the same practitioner.	MW
96225	There is a paid claim for 96223 or 96224 on the same date of service by the same practitioner.	MW
96223, 96224, 96225	There is a paid claim within 3 months prior for the same fee item by any practitioner.	MY
96223, 96224	There is a paid claim on the same date of service by the same practitioner or payee for fee items 02899, 02898 or 02897.	FV
96223, 96225	There is a paid claim on the same date of service by the same practitioner or payee for fee item 02893.	FV
96223, 96224, 96225	The driver's licence number is not numeric, is partially numeric, is missing or is not located in the first 7 spaces in the note or comment field.	MX
96223, 96224, 96225	The RoadSafetyBC form fee was billed under the wrong insurer code i.e. WorkSafeBC or ICBC.	MZ
96223, 96224, 96225	A duplicate claim has been billed.	HA
96223, 96224, 96225	Patient age is less than 16 years old.	FG
96223, 96224, 96225	Wrong specialty for the fee item billed.	CQ
96223, 96224, 96225	Practitioner not authorized to bill a visual fields test.	WF

Explanatory Codes

CQ - Practitioner is not licensed to bill for this service.
FG - Age of patient does not correspond with fee item billed.
FV - This service is included in a previously paid item.
HA - This claim has been paid to you.
HJ - This fee has been paid to another physician or facility.
MW - This RoadSafetyBC form fee is not payable on the same date of service as another RoadSafetyBC form fee you have billed.
MX - Driver’s licence number is not numeric, is missing or is not located in the first seven spaces of the note or comment field.
MY - A repeat RoadSafetyBC form fee is not payable to any practitioner within 3 months.
MZ - Insurer is invalid for this service.
WF - Fee item billed and doctor’s specialty/practitioner number do not correspond.