Ophthalmology MSP billing codes

Clinical Examinations

Code	Description	Amount
02005	EMERGENCY VISIT - OPHTHALMOLOGY	$88.50
02007	OFFICE VISIT - OPHTHALMOLOGY	$30.54
02008	HOSPITAL VISIT - OPHTHALMOLOGY	$48.00
02009	HOME VISIT - OPHTHALMOLOGY	$59.37
02010	CONSULTATION - OPHTHALMOLOGY	$93.11
02011	LIMITED CONSULTATION - OPHTHALMOLOGY	$48.11
02012	SPECIAL CONSULTATION - OPHTHALMOLOGY	$131.71
02014	ORTHOPTIC EVALUATION	$51.00
02015	EYE EXAMINATION (REFRACTION, OPTHALMOSCOPY ETC...)	$50.10
02017	OCULO-MOTOR FUNCTION TEST	$33.99
02018	BIOMICROSCOPY	$31.47
02019	TONOMETRY	$31.47
02020	OPHTHALMODYNAMOMETRY	$28.19
02028	EXAMINATION FOR LOW VISUAL AID	$48.76
02038	KERATOMETRY	$15.40
02040	RETINOSCOPY UNDER GA	$131.08
02048	EXOPHTHALMOMETRY	$13.25
22007	TELEHEALTH SUBSEQUENT OFFICE VISIT - OPHTHALMOLOGY	$30.54
22008	TELEHEALTH SUBSEQNT HOSPITAL VISIT - OPHTHALMOLOGY	$48.00
22010	TELEHEALTH CONSULTATION - OPHTHALMOLOGY	$93.11
22011	TELEHEALTH REPEAT OR LMTD CONSULT - OPHTHALMOLOGY	$48.11
22016	PACHYMETRY-EXTRA(WHEN BILLED WITH OTHER EYE EXAMS)	$10.05

Laboratory / Diagnostic Examinations

Code	Description	Amount
00771	RETINAL EXAMINATION UNDER ANAESTHESIA	$19.78
00780	DIAGNOSTIC SCHIRMER TEST	$12.95
02025	FLUORESCEIN ANGIOGRAPHY OF RETINA WITH INTERPRET.	$105.37
02026	FLUORESCEIN ANGIOGRAPHY OF RETINA - PROF FEE	$26.50
02027	FLUORESCEIN ANGIOGRAPHY OF RETINA - TECH FEE	$78.87
02030	ELECTRO-RETINOGRAM	$92.80
02031	ELECTRO -RETINOGRAM - PROFESSIONAL FEE	$34.46
02032	ELECTRO- RETINOGRAM - TECHNICAL FEE	$58.33
02034	DARK ADAPTATION, PER EYE	$21.08
02035	COLOR VISION ASSESSMENT	$40.43
02036	COLOUR VISION ASSESSMENT (PROFESSIONAL)	$26.51
02037	COLOUR VISION ASSESSMENT (TECHNICAL)	$13.92
02039	FUNDUS PHOTOGRAPHY	$13.20
02041	VISUAL FIELD EXAMINATION (LIMITED)	$32.11
02042	QUANTITATIVE PERIMETRY EXAMINATION	$45.02
02043	COMPREHENSIVE QUANTITATIVE PERIMETRY EXAMINATION	$62.38
02044	ELECTRO-OCULOGRAM	$75.20
02045	ELECTRO-OCULOGRAM - PROFESSIONAL FEE	$26.51
02047	DACRYOCYSTOGRAM	$61.63
02049	POTENTIOMETRY	$30.85
02067	MANUAL RETINAL NERVE FIBRE LAYER PHOTOGRAPHY	$64.21
02068	RET NERVE FIBRE AND NEURO-RETINAL ASSESS. - PROF	$12.34
02069	RET NERVE FIBRE AND NEURO-RETINAL ASSESS. - TECH	$51.87
22023	10 OR 24 HOUR TENSION CURVE - DIURNAL	$34.75
22046	POSTERIOR SEGMENT CONTACT LENS EXAM	$11.04
22047	ANTERIOR SEGMENT GONIOSCOPY	$14.79
22067	COMPUTERIZED RETINAL NERVE FIBRE LAYER PHOTOGRAPHY	$54.72
22068	PROFESSIONAL FEE -COMPUTERIZED RETINAL NERVE FIBRE	$12.34
22069	TECHNICAL FEE - COMPUTERIZED RETINAL NERVE FIBRE	$42.38
22075	COMPUTERIZED CORNEAL TOPOGRAPHY	$57.83
22076	COMPUTERIZED CORNEAL TOPOGRAPHY - PROFESSIONAL FEE	$15.69
22077	COMPUTERIZED CORNEAL TOPOGRAPHY - TECHNICAL FEE	$42.14
22050	SPECULAR MICROSCOPY-TOTAL FEE	$76.97
22051	SPECULAR MICROSCOPY-PROFESSIONAL FEE	$20.09
22052	SPECULAR MICROSCOPY-TECHNICAL FEE	$56.88

Ultrasoun And Axial Measurement Examinations

Code	Description	Amount
08641	OPHTHALMIC B-SCAN	$98.01
22399	OPHTHALMIC A-SCAN TO DETERMINE AXIAL LENGTH	$63.39

Fitting Of Contact Lenses

Code	Description	Amount
02058	CONTACT LENS BANDAGE - APHAKIA - UNILATERAL	$262.17
22056	CONTACT LENS BANDAGE - UNILATERAL	$78.64
22059	CONTACT LENS - KERATOCONUS - UNILATERAL	$262.17

Surgical Fees Special Therapy

Code	Description	Amount
02073	BOTULINUM TOXIN INJECTION FOR BLEPHAROSPASM	$134.63
02075	BOTULINUM TOXIN INJECTION FOR ENTROPION	$73.57
02076	BOTULINUM TOXIN INJECTION FOR STRABISMUS	$204.90
02108	BETA RADIATION	$20.44
02109	SUBCONJUNCTIVAL INJECTION	$22.02
02110	RADIOACTIVE PLAQUE	$987.46

Surgical Fees Lacrimal Apparatus

Code	Description	Amount
02111	LACRIMAL GLAND MICRO-DISSECTION	$1,102.86
02112	DACRYOCYSTECTOMY (COMPLEX)	$1,042.89
02118	TWO OR THREE SNIP PROCEDURE	$47.23
02119	DACRYOCYSTOSTOMY (LA)	$34.77
02120	PUNCTUM DILATION AND SYRINGING SAC	$25.16
02122	LACRIMAL DUCT PROBING (LA)	$25.16
02123	INSERTION OF QUICKERT TUBE	$203.12
02126	DACRYOCYSTORHINOSTOMY	$551.85
02127	REPAIR OF CANALICULI	$486.67
02129	INSERTION OF LESTER JONES TUBE	$417.15
22121	DUCT PROBING UNDER GA - UNILATERAL OR BILATERAL	$173.82

Surgical Fees Orbit

Code	Description	Amount
02101	ORBITOTOMY - POSTERIOR, MICRODISSECTION	$1,738.15
02132	RETROBULBAR INJECTION	$89.58
02133	ENUCLEATION OR EVISCERATION	$521.84
02134	ORBIT - ENUCLEATION WITH COMPLICATED IMPLANT	$764.78
02135	ORBIT - EXENTERATION OF	$993.33
02144	ASPIRATION NEEDLE BIOPSY OF ORBIT UNDER SCAN	$133.60
02145	ORBITAL EXENTERATION	$1,654.72
22136	BIOPSY OR EXCISION OF ANTERIOR ORBITAL TUMOUR	$347.63
22138	POSTERIOR ORBITOTOMY	$1,390.53
22140	ORBITAL EXPLORATION (POSTERIOR ROUTE)	$1,112.40
22141	ORBITAL DECOMPRESSION - (1 WALL)	$625.73
22142	ORBITAL DECOMPRESSION - (2 WALL)	$966.35
22143	ORBITAL DECOMPRESSION - (3 WALL)	$1,390.53

Surgical Fees Eyelids

Code	Description	Amount
02100	MUELLERECTOMY - GRADED	$463.50
02103	EYE LID REPAIR - MINOR	$87.25
02104	EYE LID RECONSTRUCTION - MAJOR	$869.07
02105	EYE LID RECONSTRUCTION - 2-STAGE	$1,448.46
02106	TRICHIASIS - MICRO REPAIR	$573.92
02107	EYE LID MARGIN REPAIR - LAYERED CLOSURE	$347.63
02146	TRICHIASIS - EPILATION (FORCEPS)	$22.02
02147	TRICHIASIS - ELECTRIC	$63.43
02148	CRYOTHERAPY OF EYE LIDS	$115.88
02149	MEIBOMIAN GLAND EVACUATION	$22.02
02150	CHALAZION REMOVAL	$77.73
02152	TARSORRHAPHY	$115.19
02153	ECTROPION/ENTROPIAN - ZIEGLER OR SIMPLE PROCEDURE	$55.52
02154	ECTROPION/ENTROPIAN - COMPLICATED	$330.01
02155	PTOSIS REPAIR (SYNTHETIC SLING)	$289.69
02156	EXCISION OF TUMOUR OF EYELID MARGIN OR CONJUNCTIVA	$87.25
02157	EYELID TUMOUR - BENIGN - EXCISION	$37.75
02158	FASANELLA-SERVAT PROCEDURE	$261.07
02159	PTOSIS REPAIR (AUTOLOGOUS SLING)	$539.18
02160	PTOSIS REPAIR (LEVATOR RESECTION)	$529.79
02166	LID ELEVATION & SCLERAL GRAFT	$463.50

Surgical Fees Eye Muscles

Code	Description	Amount
02161	STRABISMUS (1 OR 2 MUSCLES)	$368.64
02162	STRABISMUS (3 OR MORE MUSCLES)	$521.45
02163	STRABISMUS (COMPLICATED RE-OPERATION)	$579.38
22165	STRABISMUS (5 OR MORE MUSCLES)	$753.19
22166	ADJUSTABLE SUTURE FEE - EXTRA TO STRABISMUS	$173.82
22167	PRISM ADAPTATION AND/OR AMBLYOPIA THERAPY	$136.33

Surgical Fees Cornea And Sclera

Code	Description	Amount
02167	CAUTERY OR CRYOTHERAPY OF CORNEAL ULCER	$31.35
02168	KERATOPLASTY - COMPLICATED RE-OPERATION	$942.56
02169	SUTURE OF CORNEA/SCLERA (COMPLICATED)	$690.92
02171	PTERYGIUM OR LIMBUS TUMOUR EXCISION	$125.06
02172	GUNDERSON-TYPE FLAP	$289.69
02173	KERATOPLASTY - LAMELLAR	$837.98
02174	SUTURE OF CORNEA/SCLERA (SIMPLE)	$305.37
02175	KERATOPLASTY - PENETRATING	$838.82
22169	POST-KERATOPLASTY SUTURE REMOVAL AT SLIT LAMP	$21.82
22171	PTERYGIUM EXCISION WITH MUCOUS MEMBRANE GRAFT	$413.89
22172	PTERYGIUM EXCISION - COMPLICATED	$596.01

Surgical Fees Glaucoma / Iris / Anterior Chamber

Code	Description	Amount
02176	SCLEROTOMY - POSTERIOR - ISOLATED PROCEDURE	$129.51
02177	GLAUCOMA - PERIPHERAL IRIDECTOMY(ISOLATED PROCED.)	$340.13
02178	GLAUCOMA - FILTERING PROCEDURE, NON-MICROSCOPIC	$589.38
02180	GLAUCOMA - GONIOTOMY	$535.76
02183	GLAUCOMA - GONIOTOMY REPEAT WITHIN 3 MONTHS	$222.52
02184	GLAUCOMA - CYCLODIALYSIS	$330.01
02187	GLAUCOMA - FILTERING PROCEDURE, MICROSCOPIC	$634.67
02189	IRIDOCYCLECTOMY VIA SCLERAL FLAP DISSECTION	$621.62
02197	EVACUATION OF HYPHEMA	$511.02
22070	MOLTENO IMPLANT (INCLUDES PHASE 1 AND PHASE 2)	$1,056.24
22185	GLAUCOMA - CYCLOABLATIVE PROCEDURES	$305.37
22187	GLAUCOMA - COMPLICATED TRABECULECTOMY	$925.40

Surgical Fees Cataract / Lens

Code	Description	Amount
02188	CATARACT LINEAR EXTRACTION, CONGENITAL, TRAUMATIC	$333.99
02190	INTRAOCULAR LENS IMPLANT - PRIMARY	$87.90
02192	INTRAOCULAR LENS IMPLANT - SECONDARY	$474.59
02196	INTRAOCULAR LENS IMPLANT - REPOSITIONING	$222.52
22188	PEDIATRIC CATARACT EXTRACTION-AGES 0-7 YEARS	$1,105.95
22189	PEDIATRIC CATARACT EXTRACTION-AGES 8-16 YEARS	$737.30
22191	CATARACT - CAPSULOTOMY (NEEDLING OR DISCISSION)	$205.17

Retinal Procedures

Code	Description	Amount
02090	INTRAVITREAL INJECTION OF VITREOUS PARACENTESIS	$132.44
02091	ANTERIOR CHAMBER PARACENTESIS	$132.24
02092	INTRAVITREAL BIOPSY	$211.99
02181	INTRAOCULAR FOREIGN BODY - MAGNETIC EXTRACTION	$611.01
02182	INTRAOCULAR FOREIGN BODY/(ISOLATED PROCEDURE)	$739.04
02194	BUCKLING PROCEDURE	$795.77
02195	CRYOPEXY OR DIATHERMY FOR RETINAL TEAR OR OTHER	$223.62
02198	ANTERIOR VITRECTOMY	$344.36
02199	POSTERIOR VITRECTOMY WITH 2 OR 3 PORT DEVICE	$897.32
22195	BUCKLE MATERIAL OR SPONGE - REMOVAL	$171.07
22196	PNEUMATIC RETINOPEXY WITH AIR/GAS - ISOLATED PROC.	$381.89
22197	ADDITIONAL GAS/AIR INJECTION - POST-OP	$98.22
22198	REPAIR SCLERAL LACERATION(ISOLATED PROCEDURE)	$966.85
22199	FLUID/GAS EXCHANGE AND SILICONE INJECTION IF REQ.	$66.23
22200	PAN RETINAL ENDOLASER: > 200 BURNS	$204.19
22201	SCLERAL BUCKLE DONE WITH POSTERIOR VITRECTOMY	$55.18
22202	INTRA OCULAR LENS REMOVAL/LENSECTOMY	$55.18
22203	INTRA OCULAR FOREIGN BODY - REMOVAL	$220.74

Surgical Fees Laser Procedures

Code	Description	Amount
00094	YAG LASER TRAY SERVICE FEE	$63.09
02072	LASER INTERFEROMETRY	$32.01
02116	PANRETINAL PHOTOCOAGULATION - > 700 BURNS MAX.	$516.93
22113	LASER IRIDOTOMY	$115.88
22114	LASER TRABECULOPLASTY PER EYE	$126.49
22115	CAPSULOTOMY - YAG LASER, PER EYE	$104.86
22116	RETINAL PHOTOCOAGULATION - LEFT	$126.49
22117	RETINAL PHOTOCOAGULATION - RIGHT	$126.49
22118	POST-LASER FOLLOW-UP	$32.71
22125	PHOTODYNAMIC THRPY FOR AGE-RLTD WET MACULAR DEGENE	$275.62