MSP Billing Codes

Specialty: Opthalmology

Code Description Fee
771 Retinal examination under anaesthesia $20.08
2005 Emergency visit - ophthalmology $89.84
2007 Office visit - ophthalmology $36.14
2008 Hospital visit - ophthalmology $48.72
2009 Home visit - ophthalmology $60.27
2010 Consultation - ophthalmology $99.26
2011 Limited consultation - ophthalmology $48.83
2012 Special consultation - ophthalmology $135.53
2014 Orthoptic evaluation $60.87
2015 Eye examination (refraction, opthalmoscopy etc...) $50.86

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2017 Oculo-motor function test $34.51
2018 Biomicroscopy $31.95
2019 Tonometry $31.95
2020 Ophthalmodynamometry $28.61
2028 Examination for low visual aid $49.50
2038 Keratometry $15.63
2040 Retinoscopy, keratometry, tonometry, indirect fundoscopy, fundus photography and prosthetic fitting under general anesthetic $133.06
2048 Exophthalmometry $13.45
22007 Telehealth subsequent office visit - ophthalmology $36.14
22008 Telehealth subseqnt hospital visit - ophthalmology $48.72
22010 Telehealth consultation - ophthalmology $99.26
22011 Telehealth repeat or lmtd consult - ophthalmology $48.83
22016 Pachymetry-extra(when billed with other eye exams) $10.21
22175 Collagen cross-linking for keratoconus-prof fee $404.61
22176 Collagen cross-linking for keratoconus-tech fee $505.77
22050 Specular microscopy-total fee $78.13
22051 Specular microscopy-professional fee $20.39
22052 Specular microscopy-technical fee $57.74
2058 Contact lens bandage - aphakia - unilateral $266.12
22056 Contact lens bandage - unilateral $79.83
22059 Contact lens - keratoconus - unilateral $266.12
2025 Fluorescein angiography of retina with interpret. $106.96
2026 Fluorescein angiography of retina - prof fee $26.90
2027 Fluorescein angiography of retina - tech fee $80.07
2030 Electro-retinogram $94.19
2031 Electro -retinogram - professional fee $34.98
2032 Electro- retinogram - technical fee $59.20
2034 Dark adaptation, per eye $21.39
2035 Color vision assessment $41.04
2036 Colour vision assessment (professional) $26.91
2037 Colour vision assessment (technical) $14.14
2039 Fundus photography $13.40
2041 Visual field examination (limited) $32.59
2042 Quantitative perimetry examination $45.70
2043 Comprehensive quantitative perimetry examination $63.32
2044 Electro-oculogram $76.33
2045 Electro-oculogram - professional fee $26.91
2047 Dacryocystogram $62.57
2049 Potentiometry $31.31
2067 Manual retinal nerve fibre layer photography $65.18
2068 Ret nerve fibre and neuro-retinal assess. - prof $12.52
2069 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
2090 Intravitreal injection of vitreous paracentesis $134.43
2091 Anterior chamber paracentesis $134.23
2092 Intravitreal biopsy (microbiology, cytology) or intraocular tumour needle biopsy $215.18
2181 Foreign body intraocular - magnetic extraction - isolated procedure $620.22
2182 - non-magnetic extraction - isolated procedure $750.18
2194 Buckling procedure $807.76
2195 Cryopexy or diathermy for retinal tear or other retinal disorder $226.99
2198 Anterior vitrectomy $349.55
2199 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
2188 Cataract linear extraction, congenital, traumatic $279.16
2190 Primary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period - extra $73.47
2192 Secondary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period $481.75
2196 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
2167 Cautery or cryotherapy of corneal ulcer $31.83
2168 Keratoplasty - complicated re-operation $956.76
2169 Suture of cornea/sclera (complicated) $701.33
2171 Pterygium or limbus tumour excision $126.95
2172 Gunderson-type flap $294.05
2173 Keratoplasty - lamellar $850.60
2174 Suture of cornea/sclera (simple) $309.98
2175 Keratoplasty - penetrating $851.47
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
2161 Strabismus (1 or 2 muscles) $374.20
2162 Strabismus (3 or more muscles) $529.31
2163 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
2100 Graded muellerectomy with levator recession under local anesthesiology $470.48
2103 Minor lid repair (operation only) $88.57
2104 Major lid reconstruction (one or two stage) $882.17
2105 Two-stage reconstruction with micrographic tumour excision $1,470.29
2106 Microscopic repair of trichiasis including muscular graft or mucosal membrane graft $582.57
2107 Repair of eyelid margin defect, requiring layered closure $352.88
2146 Trichiasis - epilation (forceps) $22.36
2147 Trichiasis - electric $64.38
2148 Cryotherapy of eyelids for trichiasis or tumour $117.64
2149 Meibomian gland evacuation $22.36
2150 Chalazion removal $78.90
2152 Tarsorrhaphy $116.92
2153 Ectropion/entropian - ziegler or simple procedure $56.35
2154 Ectropion/entropian - complicated $334.98
2155 Ptosis repair - frontalis sling using synthetic material $294.05
2156 Excision of tumour of eyelid margin or conjunctiva benign (operation only) $88.57
2157 Eyelid tumour - benign - excision $38.32
2158 Fasanella-servat procedure $265.00
2159 Ptosis repair - frontalis sling using autologous material $547.30
2160 Ptosis repair (levator resection) $537.77
2166 Lid elevation & scleral graft $470.48
2176 Sclerotomy - posterior with or without insufflation of gas - isolated procedure $131.46
2177 Glaucoma - peripheral iridectomy(isolated proced.) $345.26
2178 Glaucoma - filtering procedure, non-microscopic $598.26
2180 Glaucoma - goniotomy $543.84
2183 Glaucoma - goniotomy repeat within 3 months $225.87
2184 Glaucoma - cyclodialysis $334.98
2187 Glaucoma - filtering procedure, microscopic $644.24
2189 Iridocyclectomy via scleral flap dissection $631.00
2197 Surgical evacuation of a hyphema $518.72
22070 Molteno implant (includes phase 1 and phase 2) $1,072.16
22185 Glaucoma - cycloablative procedures $309.98
22187 Glaucoma - complicated trabeculectomy $939.34
2111 Lacrimal gland micro-dissection $1,119.48
2112 Dacryocystectomy (complex) $1,058.61
2118 Two or three snip procedure $47.95
2119 Dacryocystostomy (la) $35.29
2120 Punctum dilation and syringing sac $25.54
2122 Duct probing - under local anesthesia (operation only) $25.54
2123 Insertion of quickert tube $206.18
2126 Dacryocystorhinostomy $560.17
2127 Repair of canaliculi $494.00
2129 Insertion of lester jones tube $423.43
22121 Duct probing under ga - unilateral or bilateral $176.44
94 Yag laser tray service fee $65.66
2072 Laser interferometry $32.49
2116 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
2101 Orbitotomy - posterior, microdissection $1,764.34
2132 Retrobulbar injection $90.93
2133 Enucleation or evisceration $529.70
2134 Orbit - enucleation with complicated implant $776.31
2135 Orbit - exenteration of $1,008.31
2144 Aspiration needle biopsy of orbit under scan $135.62
2145 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
2073 Botulinum toxin injection for blepharospasm $136.66
2075 Botulinum toxin injection for entropion $74.69
2076 Botulinum toxin injection for strabismus $207.99
2108 Beta radiation $20.74
2109 Subconjunctival injection $22.36
2110 Radioactive plaque $1,002.34
22399 Ophthalmic a-scan to determine axial length $64.34
25007 Ophthalmic a-scan to determine axial length $36.97
25010 Ophthalmic a-scan to determine axial length $77.84
25012 Ophthalmic a-scan to determine axial length $45.81
25013 Ophthalmic a-scan to determine axial length $108.85

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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