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