Ophthalmology MSP billing codes


Clinical Examinations

Code Description Amount
02005 EMERGENCY VISIT - OPHTHALMOLOGY $88.10
02007 OFFICE VISIT - OPHTHALMOLOGY $30.40
02008 HOSPITAL VISIT - OPHTHALMOLOGY $47.78
02009 HOME VISIT - OPHTHALMOLOGY $59.10
02010 CONSULTATION - OPHTHALMOLOGY $92.69
02011 LIMITED CONSULTATION - OPHTHALMOLOGY $47.89
02012 SPECIAL CONSULTATION - OPHTHALMOLOGY $131.12
02014 ORTHOPTIC EVALUATION $50.77
02015 EYE EXAMINATION (REFRACTION, OPTHALMOSCOPY ETC...) $49.88
02017 OCULO-MOTOR FUNCTION TEST $33.84
02018 BIOMICROSCOPY $31.33
02019 TONOMETRY $31.33
02020 OPHTHALMODYNAMOMETRY $28.06
02028 EXAMINATION FOR LOW VISUAL AID $48.54
02038 KERATOMETRY $15.33
02040 RETINOSCOPY UNDER GA $130.49
02048 EXOPHTHALMOMETRY $13.19
22007 TELEHEALTH SUBSEQUENT OFFICE VISIT - OPHTHALMOLOGY $30.40
22008 TELEHEALTH SUBSEQNT HOSPITAL VISIT - OPHTHALMOLOGY $47.78
22010 TELEHEALTH CONSULTATION - OPHTHALMOLOGY $92.69
22011 TELEHEALTH REPEAT OR LMTD CONSULT - OPHTHALMOLOGY $47.89
22016 PACHYMETRY-EXTRA(WHEN BILLED WITH OTHER EYE EXAMS) $10.00

Laboratory / Diagnostic Examinations

Code Description Amount
00771 RETINAL EXAMINATION UNDER ANAESTHESIA $19.69
00780 DIAGNOSTIC SCHIRMER TEST $12.89
02025 FLUORESCEIN ANGIOGRAPHY OF RETINA WITH INTERPRET. $104.90
02026 FLUORESCEIN ANGIOGRAPHY OF RETINA - PROF FEE $26.38
02027 FLUORESCEIN ANGIOGRAPHY OF RETINA - TECH FEE $78.52
02030 ELECTRO-RETINOGRAM $92.38
02031 ELECTRO -RETINOGRAM - PROFESSIONAL FEE $34.31
02032 ELECTRO- RETINOGRAM - TECHNICAL FEE $58.07
02034 DARK ADAPTATION, PER EYE $20.99
02035 COLOR VISION ASSESSMENT $40.25
02036 COLOUR VISION ASSESSMENT (PROFESSIONAL) $26.39
02037 COLOUR VISION ASSESSMENT (TECHNICAL) $13.86
02039 FUNDUS PHOTOGRAPHY $13.14
02041 VISUAL FIELD EXAMINATION (LIMITED) $31.97
02042 QUANTITATIVE PERIMETRY EXAMINATION $44.82
02043 COMPREHENSIVE QUANTITATIVE PERIMETRY EXAMINATION $62.10
02044 ELECTRO-OCULOGRAM $74.86
02045 ELECTRO-OCULOGRAM - PROFESSIONAL FEE $26.39
02047 DACRYOCYSTOGRAM $61.35
02049 POTENTIOMETRY $30.71
02067 MANUAL RETINAL NERVE FIBRE LAYER PHOTOGRAPHY $63.92
02068 RET NERVE FIBRE AND NEURO-RETINAL ASSESS. - PROF $12.28
02069 RET NERVE FIBRE AND NEURO-RETINAL ASSESS. - TECH $51.64
22023 10 OR 24 HOUR TENSION CURVE - DIURNAL $34.59
22046 POSTERIOR SEGMENT CONTACT LENS EXAM $10.99
22047 ANTERIOR SEGMENT GONIOSCOPY $14.72
22067 COMPUTERIZED RETINAL NERVE FIBRE LAYER PHOTOGRAPHY $54.47
22068 PROFESSIONAL FEE -COMPUTERIZED RETINAL NERVE FIBRE $12.28
22069 TECHNICAL FEE - COMPUTERIZED RETINAL NERVE FIBRE $42.19
22075 COMPUTERIZED CORNEAL TOPOGRAPHY $57.57
22076 COMPUTERIZED CORNEAL TOPOGRAPHY - PROFESSIONAL FEE $15.62
22077 COMPUTERIZED CORNEAL TOPOGRAPHY - TECHNICAL FEE $41.95
22050 SPECULAR MICROSCOPY-TOTAL FEE $76.63
22051 SPECULAR MICROSCOPY-PROFESSIONAL FEE $20.00
22052 SPECULAR MICROSCOPY-TECHNICAL FEE $56.63

Ultrasoun And Axial Measurement Examinations

Code Description Amount
08641 OPHTHALMIC B-SCAN $97.57
22399 OPHTHALMIC A-SCAN TO DETERMINE AXIAL LENGTH $63.11

Fitting Of Contact Lenses

Code Description Amount
02058 CONTACT LENS BANDAGE - APHAKIA - UNILATERAL $261.00
22056 CONTACT LENS BANDAGE - UNILATERAL $78.29
22059 CONTACT LENS - KERATOCONUS - UNILATERAL $261.00

Surgical Fees Special Therapy

Code Description Amount
02073 BOTULINUM TOXIN INJECTION FOR BLEPHAROSPASM $134.03
02075 BOTULINUM TOXIN INJECTION FOR ENTROPION $73.24
02076 BOTULINUM TOXIN INJECTION FOR STRABISMUS $203.98
02108 BETA RADIATION $20.35
02109 SUBCONJUNCTIVAL INJECTION $21.92
02110 RADIOACTIVE PLAQUE $983.04

Surgical Fees Lacrimal Apparatus

Code Description Amount
02111 LACRIMAL GLAND MICRO-DISSECTION $1,097.92
02112 DACRYOCYSTECTOMY (COMPLEX) $1,038.22
02118 TWO OR THREE SNIP PROCEDURE $47.02
02119 DACRYOCYSTOSTOMY (LA) $34.61
02120 PUNCTUM DILATION AND SYRINGING SAC $25.05
02122 LACRIMAL DUCT PROBING (LA) $25.05
02123 INSERTION OF QUICKERT TUBE $202.21
02126 DACRYOCYSTORHINOSTOMY $549.38
02127 REPAIR OF CANALICULI $484.49
02129 INSERTION OF LESTER JONES TUBE $415.28
22121 DUCT PROBING UNDER GA - UNILATERAL OR BILATERAL $173.04

Surgical Fees Orbit

Code Description Amount
02101 ORBITOTOMY - POSTERIOR, MICRODISSECTION $1,730.36
02132 RETROBULBAR INJECTION $89.18
02133 ENUCLEATION OR EVISCERATION $519.50
02134 ORBIT - ENUCLEATION WITH COMPLICATED IMPLANT $761.35
02135 ORBIT - EXENTERATION OF $988.88
02144 ASPIRATION NEEDLE BIOPSY OF ORBIT UNDER SCAN $133.00
02145 ORBITAL EXENTERATION $1,647.31
22136 BIOPSY OR EXCISION OF ANTERIOR ORBITAL TUMOUR $346.07
22138 POSTERIOR ORBITOTOMY $1,384.30
22140 ORBITAL EXPLORATION (POSTERIOR ROUTE) $1,107.42
22141 ORBITAL DECOMPRESSION - (1 WALL) $622.93
22142 ORBITAL DECOMPRESSION - (2 WALL) $962.02
22143 ORBITAL DECOMPRESSION - (3 WALL) $1,384.30

Surgical Fees Eyelids

Code Description Amount
02100 MUELLERECTOMY - GRADED $461.42
02103 EYE LID REPAIR - MINOR $86.86
02104 EYE LID RECONSTRUCTION - MAJOR $865.18
02105 EYE LID RECONSTRUCTION - 2-STAGE $1,441.97
02106 TRICHIASIS - MICRO REPAIR $571.35
02107 EYE LID MARGIN REPAIR - LAYERED CLOSURE $346.07
02146 TRICHIASIS - EPILATION (FORCEPS) $21.92
02147 TRICHIASIS - ELECTRIC $63.15
02148 CRYOTHERAPY OF EYE LIDS $115.36
02149 MEIBOMIAN GLAND EVACUATION $21.92
02150 CHALAZION REMOVAL $77.38
02152 TARSORRHAPHY $114.67
02153 ECTROPION/ENTROPIAN - ZIEGLER OR SIMPLE PROCEDURE $55.27
02154 ECTROPION/ENTROPIAN - COMPLICATED $328.53
02155 PTOSIS REPAIR (SYNTHETIC SLING) $288.39
02156 EXCISION OF TUMOUR OF EYELID MARGIN OR CONJUNCTIVA $86.86
02157 EYELID TUMOUR - BENIGN - EXCISION $37.58
02158 FASANELLA-SERVAT PROCEDURE $259.90
02159 PTOSIS REPAIR (AUTOLOGOUS SLING) $536.76
02160 PTOSIS REPAIR (LEVATOR RESECTION) $527.42
02166 LID ELEVATION & SCLERAL GRAFT $461.42

Surgical Fees Eye Muscles

Code Description Amount
02161 STRABISMUS (1 OR 2 MUSCLES) $366.99
02162 STRABISMUS (3 OR MORE MUSCLES) $519.11
02163 STRABISMUS (COMPLICATED RE-OPERATION) $576.78
22165 STRABISMUS (5 OR MORE MUSCLES) $749.82
22166 ADJUSTABLE SUTURE FEE - EXTRA TO STRABISMUS $173.04
22167 PRISM ADAPTATION AND/OR AMBLYOPIA THERAPY $135.72

Surgical Fees Cornea And Sclera

Code Description Amount
02167 CAUTERY OR CRYOTHERAPY OF CORNEAL ULCER $31.21
02168 KERATOPLASTY - COMPLICATED RE-OPERATION $938.34
02169 SUTURE OF CORNEA/SCLERA (COMPLICATED) $687.82
02171 PTERYGIUM OR LIMBUS TUMOUR EXCISION $124.50
02172 GUNDERSON-TYPE FLAP $288.39
02173 KERATOPLASTY - LAMELLAR $834.23
02174 SUTURE OF CORNEA/SCLERA (SIMPLE) $304.00
02175 KERATOPLASTY - PENETRATING $835.06
22169 POST-KERATOPLASTY SUTURE REMOVAL AT SLIT LAMP $21.72
22171 PTERYGIUM EXCISION WITH MUCOUS MEMBRANE GRAFT $412.04
22172 PTERYGIUM EXCISION - COMPLICATED $593.34

Surgical Fees Glaucoma / Iris / Anterior Chamber

Code Description Amount
02176 SCLEROTOMY - POSTERIOR - ISOLATED PROCEDURE $128.93
02177 GLAUCOMA - PERIPHERAL IRIDECTOMY(ISOLATED PROCED.) $338.61
02178 GLAUCOMA - FILTERING PROCEDURE, NON-MICROSCOPIC $586.74
02180 GLAUCOMA - GONIOTOMY $533.36
02183 GLAUCOMA - GONIOTOMY REPEAT WITHIN 3 MONTHS $221.52
02184 GLAUCOMA - CYCLODIALYSIS $328.53
02187 GLAUCOMA - FILTERING PROCEDURE, MICROSCOPIC $631.83
02189 IRIDOCYCLECTOMY VIA SCLERAL FLAP DISSECTION $618.84
02197 EVACUATION OF HYPHEMA $508.73
22070 MOLTENO IMPLANT (INCLUDES PHASE 1 AND PHASE 2) $1,051.51
22185 GLAUCOMA - CYCLOABLATIVE PROCEDURES $304.00
22187 GLAUCOMA - COMPLICATED TRABECULECTOMY $921.25

Surgical Fees Cataract / Lens

Code Description Amount
02188 CATARACT LINEAR EXTRACTION, CONGENITAL, TRAUMATIC $332.49
02190 INTRAOCULAR LENS IMPLANT - PRIMARY $87.51
02192 INTRAOCULAR LENS IMPLANT - SECONDARY $472.46
02196 INTRAOCULAR LENS IMPLANT - REPOSITIONING $221.52
22188 PEDIATRIC CATARACT EXTRACTION-AGES 0-7 YEARS $1,101.00
22189 PEDIATRIC CATARACT EXTRACTION-AGES 8-16 YEARS $734.00
22191 CATARACT - CAPSULOTOMY (NEEDLING OR DISCISSION) $204.25

Retinal Procedures

Code Description Amount
02090 INTRAVITREAL INJECTION OF VITREOUS PARACENTESIS $131.85
02091 ANTERIOR CHAMBER PARACENTESIS $131.65
02092 INTRAVITREAL BIOPSY $211.04
02181 INTRAOCULAR FOREIGN BODY - MAGNETIC EXTRACTION $608.27
02182 INTRAOCULAR FOREIGN BODY/(ISOLATED PROCEDURE) $735.73
02194 BUCKLING PROCEDURE $792.21
02195 CRYOPEXY OR DIATHERMY FOR RETINAL TEAR OR OTHER $222.62
02198 ANTERIOR VITRECTOMY $342.82
02199 POSTERIOR VITRECTOMY WITH 2 OR 3 PORT DEVICE $893.30
22195 BUCKLE MATERIAL OR SPONGE - REMOVAL $170.30
22196 PNEUMATIC RETINOPEXY WITH AIR/GAS - ISOLATED PROC. $380.18
22197 ADDITIONAL GAS/AIR INJECTION - POST-OP $97.78
22198 REPAIR SCLERAL LACERATION(ISOLATED PROCEDURE) $962.52
22199 FLUID/GAS EXCHANGE AND SILICONE INJECTION IF REQ. $65.93
22200 PAN RETINAL ENDOLASER: > 200 BURNS $203.28
22201 SCLERAL BUCKLE DONE WITH POSTERIOR VITRECTOMY $54.93
22202 INTRA OCULAR LENS REMOVAL/LENSECTOMY $54.93
22203 INTRA OCULAR FOREIGN BODY - REMOVAL $219.75

Surgical Fees Laser Procedures

Code Description Amount
00094 YAG LASER TRAY SERVICE FEE $62.81
02072 LASER INTERFEROMETRY $31.87
02116 PANRETINAL PHOTOCOAGULATION - > 700 BURNS MAX. $514.61
22113 LASER IRIDOTOMY $115.36
22114 LASER TRABECULOPLASTY PER EYE $125.92
22115 CAPSULOTOMY - YAG LASER, PER EYE $104.39
22116 RETINAL PHOTOCOAGULATION - LEFT $125.92
22117 RETINAL PHOTOCOAGULATION - RIGHT $125.92
22118 POST-LASER FOLLOW-UP $32.56
22125 PHOTODYNAMIC THRPY FOR AGE-RLTD WET MACULAR DEGENE $274.39