The Manifest RX section includes data fields for documenting manifest refraction and manifest visual acuity findings.
In the Manifest RX section, enter the values for OD.
The Submit charge for refraction check box is selected automatically when refraction values are documented.
Enter the manifest visual acuity in the following fields:
Dva
Dva modifier
Nva
Nva modifier
Repeat steps 1-2 to enter OS values.
Enter OU values.
Important: If your practice has added multiple SIM codes to the Refraction Billing (RxBL) Service Category in File Maintenance, you have to clear and re-select the Submit charge for refraction billing check box to open a DB picklist listing the configured codes. You can then select the appropriate code.
If you do not want to submit charges, clear the Submit charge for refraction check box.