Depends on the purpose of the visit.
If it's considered "routine" (and that's a whole discussion right there), then she would use the routine exam codes. If there is a medically necessary reason, then the E/M or ophthalmological codes.
For the "sensorimotor exam" there is a special diagnostic procedure code (if the sensorimotor exam definition fits the service), and it reimburses about $40. If it's a routine case, then the patient pays out of pocket. If it's medically necessary, you'd need a pretty good diagnosis code to get it to work.
http://www.aapos.org/client_data/fil...approved04.pdf
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