Outpatient optometric services are compensable when provided in the optometrist's office, the office of another optometrist during the other optometrist's temporary absence from practice, a hospital, a nursing home or in the patient's home when the patient is physically incapable of coming to the optometrist's office. Payment is subject to the conditions and limitations established in §§ 1147.51, 1147.53 and 1147.54 (relating to general payment policy; limitations on payment; and noncompensable services and items) and Chapter 1150 (relating to MA Program payment policies) and the MA Program Fee Schedule.
55 Pa. Code § 1147.12