Ophthalmology MSP billing codes


Clinical Examinations

Code Description Amount
02005 EMERGENCY VISIT - OPHTHALMOLOGY $89.17
02007 OFFICE VISIT - OPHTHALMOLOGY $35.39
02008 HOSPITAL VISIT - OPHTHALMOLOGY $48.36
02009 HOME VISIT - OPHTHALMOLOGY $59.82
02010 CONSULTATION - OPHTHALMOLOGY $95.97
02011 LIMITED CONSULTATION - OPHTHALMOLOGY $48.47
02012 SPECIAL CONSULTATION - OPHTHALMOLOGY $132.70
02014 ORTHOPTIC EVALUATION $60.42
02015 EYE EXAMINATION (REFRACTION, OPTHALMOSCOPY ETC...) $50.48
02017 OCULO-MOTOR FUNCTION TEST $34.25
02018 BIOMICROSCOPY $31.71
02019 TONOMETRY $31.71
02020 OPHTHALMODYNAMOMETRY $28.40
02028 EXAMINATION FOR LOW VISUAL AID $49.13
02038 KERATOMETRY $15.51
02040 RETINOSCOPY UNDER GA $132.07
02048 EXOPHTHALMOMETRY $13.35
22007 TELEHEALTH SUBSEQUENT OFFICE VISIT - OPHTHALMOLOGY $35.39
22008 TELEHEALTH SUBSEQNT HOSPITAL VISIT - OPHTHALMOLOGY $48.36
22010 TELEHEALTH CONSULTATION - OPHTHALMOLOGY $95.97
22011 TELEHEALTH REPEAT OR LMTD CONSULT - OPHTHALMOLOGY $48.47
22016 PACHYMETRY-EXTRA(WHEN BILLED WITH OTHER EYE EXAMS) $10.13

Laboratory / Diagnostic Examinations

Code Description Amount
00771 RETINAL EXAMINATION UNDER ANAESTHESIA $19.93
00780 DIAGNOSTIC SCHIRMER TEST $13.05
02025 FLUORESCEIN ANGIOGRAPHY OF RETINA WITH INTERPRET. $106.16
02026 FLUORESCEIN ANGIOGRAPHY OF RETINA - PROF FEE $26.70
02027 FLUORESCEIN ANGIOGRAPHY OF RETINA - TECH FEE $79.47
02030 ELECTRO-RETINOGRAM $93.49
02031 ELECTRO -RETINOGRAM - PROFESSIONAL FEE $34.72
02032 ELECTRO- RETINOGRAM - TECHNICAL FEE $58.76
02034 DARK ADAPTATION, PER EYE $21.23
02035 COLOR VISION ASSESSMENT $40.73
02036 COLOUR VISION ASSESSMENT (PROFESSIONAL) $26.71
02037 COLOUR VISION ASSESSMENT (TECHNICAL) $14.03
02039 FUNDUS PHOTOGRAPHY $13.30
02041 VISUAL FIELD EXAMINATION (LIMITED) $32.35
02042 QUANTITATIVE PERIMETRY EXAMINATION $45.36
02043 COMPREHENSIVE QUANTITATIVE PERIMETRY EXAMINATION $62.85
02044 ELECTRO-OCULOGRAM $75.76
02045 ELECTRO-OCULOGRAM - PROFESSIONAL FEE $26.71
02047 DACRYOCYSTOGRAM $62.10
02049 POTENTIOMETRY $31.08
02067 MANUAL RETINAL NERVE FIBRE LAYER PHOTOGRAPHY $64.69
02068 RET NERVE FIBRE AND NEURO-RETINAL ASSESS. - PROF $12.43
02069 RET NERVE FIBRE AND NEURO-RETINAL ASSESS. - TECH $52.26
22023 10 OR 24 HOUR TENSION CURVE - DIURNAL $35.01
22046 POSTERIOR SEGMENT CONTACT LENS EXAM $11.12
22047 ANTERIOR SEGMENT GONIOSCOPY $14.90
22067 COMPUTERIZED RETINAL NERVE FIBRE LAYER PHOTOGRAPHY $55.13
22068 PROFESSIONAL FEE -COMPUTERIZED RETINAL NERVE FIBRE $12.43
22069 TECHNICAL FEE - COMPUTERIZED RETINAL NERVE FIBRE $42.70
22075 COMPUTERIZED CORNEAL TOPOGRAPHY $58.26
22076 COMPUTERIZED CORNEAL TOPOGRAPHY - PROFESSIONAL FEE $15.80
22077 COMPUTERIZED CORNEAL TOPOGRAPHY - TECHNICAL FEE $42.46
22050 SPECULAR MICROSCOPY-TOTAL FEE $77.55
22051 SPECULAR MICROSCOPY-PROFESSIONAL FEE $20.24
22052 SPECULAR MICROSCOPY-TECHNICAL FEE $57.31

Ultrasoun And Axial Measurement Examinations

Code Description Amount
08641 OPHTHALMIC B-SCAN $99.61
22399 OPHTHALMIC A-SCAN TO DETERMINE AXIAL LENGTH $63.86

Fitting Of Contact Lenses

Code Description Amount
02058 CONTACT LENS BANDAGE - APHAKIA - UNILATERAL $264.14
22056 CONTACT LENS BANDAGE - UNILATERAL $79.24
22059 CONTACT LENS - KERATOCONUS - UNILATERAL $264.14

Surgical Fees Special Therapy

Code Description Amount
02073 BOTULINUM TOXIN INJECTION FOR BLEPHAROSPASM $135.64
02075 BOTULINUM TOXIN INJECTION FOR ENTROPION $74.13
02076 BOTULINUM TOXIN INJECTION FOR STRABISMUS $206.44
02108 BETA RADIATION $20.59
02109 SUBCONJUNCTIVAL INJECTION $22.19
02110 RADIOACTIVE PLAQUE $994.88

Surgical Fees Lacrimal Apparatus

Code Description Amount
02111 LACRIMAL GLAND MICRO-DISSECTION $1,111.15
02112 DACRYOCYSTECTOMY (COMPLEX) $1,050.73
02118 TWO OR THREE SNIP PROCEDURE $47.59
02119 DACRYOCYSTOSTOMY (LA) $35.03
02120 PUNCTUM DILATION AND SYRINGING SAC $25.35
02122 LACRIMAL DUCT PROBING (LA) $25.35
02123 INSERTION OF QUICKERT TUBE $204.65
02126 DACRYOCYSTORHINOSTOMY $556.00
02127 REPAIR OF CANALICULI $490.32
02129 INSERTION OF LESTER JONES TUBE $420.28
22121 DUCT PROBING UNDER GA - UNILATERAL OR BILATERAL $175.13

Surgical Fees Orbit

Code Description Amount
02101 ORBITOTOMY - POSTERIOR, MICRODISSECTION $1,751.21
02132 RETROBULBAR INJECTION $90.25
02133 ENUCLEATION OR EVISCERATION $525.76
02134 ORBIT - ENUCLEATION WITH COMPLICATED IMPLANT $770.53
02135 ORBIT - EXENTERATION OF $1,000.80
02144 ASPIRATION NEEDLE BIOPSY OF ORBIT UNDER SCAN $134.61
02145 ORBITAL EXENTERATION $1,667.15
22136 BIOPSY OR EXCISION OF ANTERIOR ORBITAL TUMOUR $350.25
22138 POSTERIOR ORBITOTOMY $1,400.98
22140 ORBITAL EXPLORATION (POSTERIOR ROUTE) $1,120.76
22141 ORBITAL DECOMPRESSION - (1 WALL) $630.43
22142 ORBITAL DECOMPRESSION - (2 WALL) $973.61
22143 ORBITAL DECOMPRESSION - (3 WALL) $1,400.98

Surgical Fees Eyelids

Code Description Amount
02100 MUELLERECTOMY - GRADED $466.98
02103 EYE LID REPAIR - MINOR $87.91
02104 EYE LID RECONSTRUCTION - MAJOR $875.60
02105 EYE LID RECONSTRUCTION - 2-STAGE $1,459.34
02106 TRICHIASIS - MICRO REPAIR $578.23
02107 EYE LID MARGIN REPAIR - LAYERED CLOSURE $350.25
02146 TRICHIASIS - EPILATION (FORCEPS) $22.19
02147 TRICHIASIS - ELECTRIC $63.90
02148 CRYOTHERAPY OF EYE LIDS $116.76
02149 MEIBOMIAN GLAND EVACUATION $22.19
02150 CHALAZION REMOVAL $78.31
02152 TARSORRHAPHY $116.05
02153 ECTROPION/ENTROPIAN - ZIEGLER OR SIMPLE PROCEDURE $55.93
02154 ECTROPION/ENTROPIAN - COMPLICATED $332.49
02155 PTOSIS REPAIR (SYNTHETIC SLING) $291.86
02156 EXCISION OF TUMOUR OF EYELID MARGIN OR CONJUNCTIVA $87.91
02157 EYELID TUMOUR - BENIGN - EXCISION $38.03
02158 FASANELLA-SERVAT PROCEDURE $263.03
02159 PTOSIS REPAIR (AUTOLOGOUS SLING) $543.23
02160 PTOSIS REPAIR (LEVATOR RESECTION) $533.77
02166 LID ELEVATION & SCLERAL GRAFT $466.98

Surgical Fees Eye Muscles

Code Description Amount
02161 STRABISMUS (1 OR 2 MUSCLES) $371.41
02162 STRABISMUS (3 OR MORE MUSCLES) $525.37
02163 STRABISMUS (COMPLICATED RE-OPERATION) $583.74
22165 STRABISMUS (5 OR MORE MUSCLES) $758.85
22166 ADJUSTABLE SUTURE FEE - EXTRA TO STRABISMUS $175.13
22167 PRISM ADAPTATION AND/OR AMBLYOPIA THERAPY $137.36

Surgical Fees Cornea And Sclera

Code Description Amount
02167 CAUTERY OR CRYOTHERAPY OF CORNEAL ULCER $31.59
02168 KERATOPLASTY - COMPLICATED RE-OPERATION $949.64
02169 SUTURE OF CORNEA/SCLERA (COMPLICATED) $696.11
02171 PTERYGIUM OR LIMBUS TUMOUR EXCISION $126.00
02172 GUNDERSON-TYPE FLAP $291.86
02173 KERATOPLASTY - LAMELLAR $844.27
02174 SUTURE OF CORNEA/SCLERA (SIMPLE) $307.67
02175 KERATOPLASTY - PENETRATING $845.13
22169 POST-KERATOPLASTY SUTURE REMOVAL AT SLIT LAMP $21.99
22171 PTERYGIUM EXCISION WITH MUCOUS MEMBRANE GRAFT $417.00
22172 PTERYGIUM EXCISION - COMPLICATED $600.49

Surgical Fees Glaucoma / Iris / Anterior Chamber

Code Description Amount
02176 SCLEROTOMY - POSTERIOR - ISOLATED PROCEDURE $130.48
02177 GLAUCOMA - PERIPHERAL IRIDECTOMY(ISOLATED PROCED.) $342.69
02178 GLAUCOMA - FILTERING PROCEDURE, NON-MICROSCOPIC $593.81
02180 GLAUCOMA - GONIOTOMY $539.79
02183 GLAUCOMA - GONIOTOMY REPEAT WITHIN 3 MONTHS $224.19
02184 GLAUCOMA - CYCLODIALYSIS $332.49
02187 GLAUCOMA - FILTERING PROCEDURE, MICROSCOPIC $639.44
02189 IRIDOCYCLECTOMY VIA SCLERAL FLAP DISSECTION $626.30
02197 EVACUATION OF HYPHEMA $514.86
22070 MOLTENO IMPLANT (INCLUDES PHASE 1 AND PHASE 2) $1,064.18
22185 GLAUCOMA - CYCLOABLATIVE PROCEDURES $307.67
22187 GLAUCOMA - COMPLICATED TRABECULECTOMY $932.35

Surgical Fees Cataract / Lens

Code Description Amount
02188 CATARACT LINEAR EXTRACTION, CONGENITAL, TRAUMATIC $336.50
02190 INTRAOCULAR LENS IMPLANT - PRIMARY $88.56
02192 INTRAOCULAR LENS IMPLANT - SECONDARY $478.16
02196 INTRAOCULAR LENS IMPLANT - REPOSITIONING $224.19
22188 PEDIATRIC CATARACT EXTRACTION-AGES 0-7 YEARS $1,114.26
22189 PEDIATRIC CATARACT EXTRACTION-AGES 8-16 YEARS $742.84
22191 CATARACT - CAPSULOTOMY (NEEDLING OR DISCISSION) $206.71

Retinal Procedures

Code Description Amount
02090 INTRAVITREAL INJECTION OF VITREOUS PARACENTESIS $133.43
02091 ANTERIOR CHAMBER PARACENTESIS $133.23
02092 INTRAVITREAL BIOPSY $213.58
02181 INTRAOCULAR FOREIGN BODY - MAGNETIC EXTRACTION $615.60
02182 INTRAOCULAR FOREIGN BODY/(ISOLATED PROCEDURE) $744.60
02194 BUCKLING PROCEDURE $801.75
02195 CRYOPEXY OR DIATHERMY FOR RETINAL TEAR OR OTHER $225.30
02198 ANTERIOR VITRECTOMY $346.95
02199 POSTERIOR VITRECTOMY WITH 2 OR 3 PORT DEVICE $904.06
22195 BUCKLE MATERIAL OR SPONGE - REMOVAL $172.36
22196 PNEUMATIC RETINOPEXY WITH AIR/GAS - ISOLATED PROC. $384.76
22197 ADDITIONAL GAS/AIR INJECTION - POST-OP $98.95
22198 REPAIR SCLERAL LACERATION(ISOLATED PROCEDURE) $974.11
22199 FLUID/GAS EXCHANGE AND SILICONE INJECTION IF REQ. $66.73
22200 PAN RETINAL ENDOLASER: > 200 BURNS $205.72
22201 SCLERAL BUCKLE DONE WITH POSTERIOR VITRECTOMY $55.59
22202 INTRA OCULAR LENS REMOVAL/LENSECTOMY $55.59
22203 INTRA OCULAR FOREIGN BODY - REMOVAL $222.40

Surgical Fees Laser Procedures

Code Description Amount
00094 YAG LASER TRAY SERVICE FEE $64.52
02072 LASER INTERFEROMETRY $32.25
02116 PANRETINAL PHOTOCOAGULATION - > 700 BURNS MAX. $520.81
22113 LASER IRIDOTOMY $116.76
22114 LASER TRABECULOPLASTY PER EYE $127.44
22115 CAPSULOTOMY - YAG LASER, PER EYE $105.65
22116 RETINAL PHOTOCOAGULATION - LEFT $127.44
22117 RETINAL PHOTOCOAGULATION - RIGHT $127.44
22118 POST-LASER FOLLOW-UP $32.95
22125 PHOTODYNAMIC THRPY FOR AGE-RLTD WET MACULAR DEGENE $277.69