361986 - SOW_for_Laser_Eye_Exam.pdf
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- Solicitation number
- 361986-NN
About this file
This document is a Statement of Work (SOW) for laser eye examinations. The SOW is for an agreement to provide ophthalmology services for required laser eye exams for Fermi National Accelerator Laboratory (Fermilab) employees who do not meet the criteria of Fermilab's internal medical examination. Appointments must be accommodated within 3-5 business days of authorization. The only billable service is the laser eye exam (CPT code 92004), which must include refraction and fundus photos to evaluate any future concerns. Exam results must be faxed to Fermilab's Occupational Medical Office within 24 hours. The related federal contract opportunity is Solicitation Number 361986-NN, issued by the Department of Energy Fermi National Accelerator Laboratory.
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SOW for Laser Eye Exam
• Appointments must be accommodated withing 3-5 business days of said authorization
• The only billable services authorized is the laser eye exam. CPT code 92004, a refraction fundus photos to be done – initially it would be necessary to have the photos along with the employees best corrected vision in order to evaluate any future concerns
• Results must be faxed to Fermilab’s Occupational Medical Office, 630-840-3053, withing 24 hours of exam
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