Ophthalmology MSP billing codes


Clinical Examinations

Code Description Amount
02005 EMERGENCY VISIT - OPHTHALMOLOGY $89.84
02007 OFFICE VISIT - OPHTHALMOLOGY $35.66
02008 HOSPITAL VISIT - OPHTHALMOLOGY $48.72
02009 HOME VISIT - OPHTHALMOLOGY $60.27
02010 CONSULTATION - OPHTHALMOLOGY $97.94
02011 LIMITED CONSULTATION - OPHTHALMOLOGY $48.83
02012 SPECIAL CONSULTATION - OPHTHALMOLOGY $135.53
02014 ORTHOPTIC EVALUATION $60.87
02015 EYE EXAMINATION (REFRACTION, OPTHALMOSCOPY ETC...) $50.86
02017 OCULO-MOTOR FUNCTION TEST $34.51
02018 BIOMICROSCOPY $31.95
02019 TONOMETRY $31.95
02020 OPHTHALMODYNAMOMETRY $28.61
02028 EXAMINATION FOR LOW VISUAL AID $49.50
02038 KERATOMETRY $15.63
02040 Retinoscopy, keratometry, tonometry, indirect fundoscopy, fundus photography and prosthetic fitting under general anesthetic $133.06
02048 EXOPHTHALMOMETRY $13.45
22007 TELEHEALTH SUBSEQUENT OFFICE VISIT - OPHTHALMOLOGY $35.66
22008 TELEHEALTH SUBSEQNT HOSPITAL VISIT - OPHTHALMOLOGY $48.72
22010 TELEHEALTH CONSULTATION - OPHTHALMOLOGY $96.69
22011 TELEHEALTH REPEAT OR LMTD CONSULT - OPHTHALMOLOGY $48.83
22016 PACHYMETRY-EXTRA(WHEN BILLED WITH OTHER EYE EXAMS) $10.21

Laboratory / Diagnostic Examinations

Code Description Amount
00771 RETINAL EXAMINATION UNDER ANAESTHESIA $20.08
00780 DIAGNOSTIC SCHIRMER TEST $13.15
02025 FLUORESCEIN ANGIOGRAPHY OF RETINA WITH INTERPRET. $106.96
02026 FLUORESCEIN ANGIOGRAPHY OF RETINA - PROF FEE $26.90
02027 FLUORESCEIN ANGIOGRAPHY OF RETINA - TECH FEE $80.07
02030 ELECTRO-RETINOGRAM $94.19
02031 ELECTRO -RETINOGRAM - PROFESSIONAL FEE $34.98
02032 ELECTRO- RETINOGRAM - TECHNICAL FEE $59.20
02034 DARK ADAPTATION, PER EYE $21.39
02035 COLOR VISION ASSESSMENT $41.04
02036 COLOUR VISION ASSESSMENT (PROFESSIONAL) $26.91
02037 COLOUR VISION ASSESSMENT (TECHNICAL) $14.14
02039 FUNDUS PHOTOGRAPHY $13.40
02041 VISUAL FIELD EXAMINATION (LIMITED) $32.59
02042 QUANTITATIVE PERIMETRY EXAMINATION $45.70
02043 COMPREHENSIVE QUANTITATIVE PERIMETRY EXAMINATION $63.32
02044 ELECTRO-OCULOGRAM $76.33
02045 ELECTRO-OCULOGRAM - PROFESSIONAL FEE $26.91
02047 DACRYOCYSTOGRAM $62.57
02049 POTENTIOMETRY $31.31
02067 MANUAL RETINAL NERVE FIBRE LAYER PHOTOGRAPHY $65.18
02068 RET NERVE FIBRE AND NEURO-RETINAL ASSESS. - PROF $12.52
02069 RET NERVE FIBRE AND NEURO-RETINAL ASSESS. - TECH $52.65
22023 10 OR 24 HOUR TENSION CURVE - DIURNAL $35.27
22046 POSTERIOR SEGMENT CONTACT LENS EXAM $11.20
22047 ANTERIOR SEGMENT GONIOSCOPY $15.01
22067 COMPUTERIZED RETINAL NERVE FIBRE LAYER PHOTOGRAPHY $55.54
22068 PROFESSIONAL FEE -COMPUTERIZED RETINAL NERVE FIBRE $12.52
22069 TECHNICAL FEE - COMPUTERIZED RETINAL NERVE FIBRE $43.02
22075 COMPUTERIZED CORNEAL TOPOGRAPHY $58.70
22076 COMPUTERIZED CORNEAL TOPOGRAPHY - PROFESSIONAL FEE $15.92
22077 COMPUTERIZED CORNEAL TOPOGRAPHY - TECHNICAL FEE $42.78
22050 SPECULAR MICROSCOPY-TOTAL FEE $78.13
22051 SPECULAR MICROSCOPY-PROFESSIONAL FEE $20.39
22052 SPECULAR MICROSCOPY-TECHNICAL FEE $57.74

Ultrasoun And Axial Measurement Examinations

Code Description Amount
08641 OPHTHALMIC B-SCAN $100.82
22399 OPHTHALMIC A-SCAN TO DETERMINE AXIAL LENGTH $64.34

Fitting Of Contact Lenses

Code Description Amount
02058 CONTACT LENS BANDAGE - APHAKIA - UNILATERAL $266.12
22056 CONTACT LENS BANDAGE - UNILATERAL $79.83
22059 CONTACT LENS - KERATOCONUS - UNILATERAL $266.12

Surgical Fees Special Therapy

Code Description Amount
02073 BOTULINUM TOXIN INJECTION FOR BLEPHAROSPASM $136.66
02075 BOTULINUM TOXIN INJECTION FOR ENTROPION $74.69
02076 BOTULINUM TOXIN INJECTION FOR STRABISMUS $207.99
02108 BETA RADIATION $20.74
02109 SUBCONJUNCTIVAL INJECTION $22.36
02110 RADIOACTIVE PLAQUE $1,002.34

Surgical Fees Lacrimal Apparatus

Code Description Amount
02111 LACRIMAL GLAND MICRO-DISSECTION $1,119.48
02112 DACRYOCYSTECTOMY (COMPLEX) $1,058.61
02118 TWO OR THREE SNIP PROCEDURE $47.95
02119 DACRYOCYSTOSTOMY (LA) $35.29
02120 PUNCTUM DILATION AND SYRINGING SAC $25.54
02122 Duct probing - under local anesthesia (operation only) $25.54
02123 INSERTION OF QUICKERT TUBE $206.18
02126 DACRYOCYSTORHINOSTOMY $560.17
02127 REPAIR OF CANALICULI $494.00
02129 INSERTION OF LESTER JONES TUBE $423.43
22121 DUCT PROBING UNDER GA - UNILATERAL OR BILATERAL $176.44

Surgical Fees Orbit

Code Description Amount
02101 ORBITOTOMY - POSTERIOR, MICRODISSECTION $1,764.34
02132 RETROBULBAR INJECTION $90.93
02133 ENUCLEATION OR EVISCERATION $529.70
02134 ORBIT - ENUCLEATION WITH COMPLICATED IMPLANT $776.31
02135 ORBIT - EXENTERATION OF $1,008.31
02144 ASPIRATION NEEDLE BIOPSY OF ORBIT UNDER SCAN $135.62
02145 ORBITAL EXENTERATION with en bloc resection of bony orbital walls - Ophthalmologist $1,679.65
22136 BIOPSY OR EXCISION OF ANTERIOR ORBITAL TUMOUR $352.88
22138 Posterior orbitotomy for removal of posterior orbital tumour not involving the orbital apex or optic nerve $1,411.49
22140 ORBITAL EXPLORATION (POSTERIOR ROUTE) - to biopsy posterior orbital tumour or to fenestrate optic nerve sheath $1,129.17
22141 ORBITAL DECOMPRESSION - (1 WALL) $635.16
22142 ORBITAL DECOMPRESSION - (2 WALL) $980.91
22143 ORBITAL DECOMPRESSION - (3 WALL) $1,411.49

Surgical Fees Eyelids

Code Description Amount
02100 Graded Muellerectomy with levator recession under local anesthesiology $470.48
02103 Minor lid repair (operation only) $88.57
02104 Major lid reconstruction (one or two stage) $882.17
02105 Two-stage reconstruction with micrographic tumour excision $1,470.29
02106 Microscopic repair of trichiasis including muscular graft or mucosal membrane graft $582.57
02107 Repair of eyelid margin defect, requiring layered closure $352.88
02146 TRICHIASIS - EPILATION (FORCEPS) $22.36
02147 TRICHIASIS - ELECTRIC $64.38
02148 Cryotherapy of eyelids for trichiasis or tumour $117.64
02149 MEIBOMIAN GLAND EVACUATION $22.36
02150 CHALAZION REMOVAL $78.90
02152 TARSORRHAPHY $116.92
02153 ECTROPION/ENTROPIAN - ZIEGLER OR SIMPLE PROCEDURE $56.35
02154 ECTROPION/ENTROPIAN - COMPLICATED $334.98
02155 PTOSIS REPAIR - frontalis sling using synthetic material $294.05
02156 EXCISION OF TUMOUR OF EYELID MARGIN OR CONJUNCTIVA – benign (operation only) $88.57
02157 EYELID TUMOUR - BENIGN - EXCISION $38.32
02158 FASANELLA-SERVAT PROCEDURE $265.00
02159 PTOSIS REPAIR - frontalis sling using autologous material $547.30
02160 PTOSIS REPAIR (LEVATOR RESECTION) $537.77
02166 LID ELEVATION & SCLERAL GRAFT $470.48

Surgical Fees Eye Muscles

Code Description Amount
02161 STRABISMUS (1 OR 2 MUSCLES) $374.20
02162 STRABISMUS (3 OR MORE MUSCLES) $529.31
02163 STRABISMUS (COMPLICATED RE-OPERATION) $588.12
22165 STRABISMUS (5 OR MORE MUSCLES) $764.54
22166 ADJUSTABLE SUTURE FEE - EXTRA TO STRABISMUS $176.44
22167 PRISM ADAPTATION AND/OR AMBLYOPIA THERAPY $138.39

Surgical Fees Cornea And Sclera

Code Description Amount
02167 CAUTERY OR CRYOTHERAPY OF CORNEAL ULCER $31.83
02168 KERATOPLASTY - COMPLICATED RE-OPERATION $956.76
02169 SUTURE OF CORNEA/SCLERA (COMPLICATED) $701.33
02171 PTERYGIUM OR LIMBUS TUMOUR EXCISION $126.95
02172 GUNDERSON-TYPE FLAP $294.05
02173 KERATOPLASTY - LAMELLAR $850.60
02174 SUTURE OF CORNEA/SCLERA (SIMPLE) $309.98
02175 KERATOPLASTY - PENETRATING $956.76
22169 Suture removal at slit lamp following keratoplasty $22.15
22171 PTERYGIUM EXCISION WITH MUCOUS MEMBRANE GRAFT $420.13
22172 Complicated pterygium excision (re-operation) or cancer excision, with mucous membrane graft $604.99

Surgical Fees Glaucoma / Iris / Anterior Chamber

Code Description Amount
02176 Sclerotomy - posterior with or without insufflation of gas - isolated procedure $131.46
02177 GLAUCOMA - PERIPHERAL IRIDECTOMY(ISOLATED PROCED.) $345.26
02178 GLAUCOMA - FILTERING PROCEDURE, NON-MICROSCOPIC $598.26
02180 GLAUCOMA - GONIOTOMY $543.84
02183 GLAUCOMA - GONIOTOMY REPEAT WITHIN 3 MONTHS $225.87
02184 GLAUCOMA - CYCLODIALYSIS $334.98
02187 GLAUCOMA - FILTERING PROCEDURE, MICROSCOPIC $644.24
02189 IRIDOCYCLECTOMY VIA SCLERAL FLAP DISSECTION $631.00
02197 Surgical evacuation of a hyphema $518.72
22070 MOLTENO IMPLANT (INCLUDES PHASE 1 AND PHASE 2) $1,064.18
22185 GLAUCOMA - CYCLOABLATIVE PROCEDURES $309.98
22187 GLAUCOMA - COMPLICATED TRABECULECTOMY $939.34

Surgical Fees Cataract / Lens

Code Description Amount
02188 CATARACT LINEAR EXTRACTION, CONGENITAL, TRAUMATIC $279.16
02190 Primary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period - extra $73.47
02192 Secondary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period $481.75
02196 Surgical repositioning of implant lens $225.87
22188 PEDIATRIC CATARACT EXTRACTION-AGES 0-7 YEARS $1,122.62
22189 PEDIATRIC CATARACT EXTRACTION-AGES 8-16 YEARS $748.41
22191 CATARACT - CAPSULOTOMY (NEEDLING OR DISCISSION) - isolated procedure $208.26

Retinal Procedures

Code Description Amount
02090 INTRAVITREAL INJECTION OF VITREOUS PARACENTESIS $134.43
02091 ANTERIOR CHAMBER PARACENTESIS $134.23
02092 INTRAVITREAL BIOPSY (microbiology, cytology) or intraocular tumour needle biopsy $215.18
02181 Foreign body intraocular - magnetic extraction - isolated procedure $620.22
02182 - non-magnetic extraction - isolated procedure $750.18
02194 BUCKLING PROCEDURE $807.76
02195 CRYOPEXY OR DIATHERMY FOR RETINAL TEAR OR OTHER RETINAL DISORDER $226.99
02198 ANTERIOR VITRECTOMY $349.55
02199 Posterior vitrectomy with 2 or 3 port infusion cutting device. Includes membrane peel and/or dissection $910.84
22195 BUCKLE MATERIAL OR SPONGE - REMOVAL $173.65
22196 PNEUMATIC RETINOPEXY WITH AIR/GAS - ISOLATED PROC. $387.65
22197 ADDITIONAL GAS (C3F8 or SF6) or air injection $99.69
22198 Repair of scleral laceration and cryopexy and/or gas injection with scleral buckle – isolated procedure $981.42
22199 FLUID/GAS EXCHANGE AND SILICONE INJECTION if required with posterior vitrectomy $67.23
22200 Panretinal endolaser greater than 200 burns when done with a posterior vitrectomy $207.26
22201 SCLERAL BUCKLE DONE WITH POSTERIOR VITRECTOMY $56.01
22202 INTRA OCULAR LENS REMOVAL/LENSECTOMY when done with a posterior vitrectomy $56.01
22203 Removal of intra-ocular foreign body at the time of posterior vitrectomy $224.07

Surgical Fees Laser Procedures

Code Description Amount
00094 YAG LASER TRAY SERVICE FEE $65.33
02072 LASER INTERFEROMETRY $32.49
02116 PANRETINAL PHOTOCOAGULATION - > 700 BURNS MAX. $524.72
22113 LASER IRIDOTOMY PER EYE $117.64
22114 LASER TRABECULOPLASTY PER EYE $128.40
22115 CAPSULOTOMY - YAG LASER, PER EYE $106.44
22116 RETINAL PHOTOCOAGULATION - LEFT $128.40
22117 RETINAL PHOTOCOAGULATION - RIGHT $128.40
22118 POST-LASER FOLLOW-UP $33.20
22125 PHOTODYNAMIC THRPY FOR AGE-RLTD WET MACULAR DEGENE - PROFESSIONAL FEE $279.77