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