MSP Billing Codes

Specialty: Opthalmology

Code	Description	Anes	Fee
Search a description within this chart
771	Retinal examination under anaesthesia	3	$20.08
2005	Emergency visit - ophthalmology	0	$89.84
2007	Office visit - ophthalmology	0	$36.14
2008	Hospital visit - ophthalmology	0	$48.72
2009	Home visit - ophthalmology	0	$60.27
2010	Consultation - ophthalmology	0	$99.26
2011	Limited consultation - ophthalmology	0	$48.83
2012	Special consultation - ophthalmology	0	$135.53
2014	Orthoptic evaluation	0	$60.87
2015	Eye examination (refraction, opthalmoscopy etc...)	0	$50.86
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2017	Oculo-motor function test	0	$34.51
2018	Biomicroscopy	0	$31.95
2019	Tonometry	0	$31.95
2020	Ophthalmodynamometry	0	$28.61
2028	Examination for low visual aid	0	$49.50
2038	Keratometry	0	$15.63
2040	Retinoscopy, keratometry, tonometry, indirect fundoscopy, fundus photography and prosthetic fitting under general anesthetic	3	$133.06
2048	Exophthalmometry	0	$13.45
22007	Telehealth subsequent office visit - ophthalmology	0	$36.14
22008	Telehealth subseqnt hospital visit - ophthalmology	0	$48.72
22010	Telehealth consultation - ophthalmology	0	$99.26
22011	Telehealth repeat or lmtd consult - ophthalmology	0	$48.83
22016	Pachymetry-extra(when billed with other eye exams)	0	$10.21
22175	Collagen cross-linking for keratoconus-prof fee	0	$404.61
22176	Collagen cross-linking for keratoconus-tech fee	0	$505.77
22050	Specular microscopy-total fee	0	$78.13
22051	Specular microscopy-professional fee	0	$20.39
22052	Specular microscopy-technical fee	0	$57.74
2058	Contact lens bandage - aphakia - unilateral	0	$266.12
22056	Contact lens bandage - unilateral	0	$79.83
22059	Contact lens - keratoconus - unilateral	0	$266.12
2025	Fluorescein angiography of retina with interpret.	0	$106.96
2026	Fluorescein angiography of retina - prof fee	0	$26.90
2027	Fluorescein angiography of retina - tech fee	0	$80.07
2030	Electro-retinogram	0	$94.19
2031	Electro -retinogram - professional fee	0	$34.98
2032	Electro- retinogram - technical fee	0	$59.20
2034	Dark adaptation, per eye	0	$21.39
2035	Color vision assessment	0	$41.04
2036	Colour vision assessment (professional)	0	$26.91
2037	Colour vision assessment (technical)	0	$14.14
2039	Fundus photography	0	$13.40
2041	Visual field examination (limited)	0	$32.59
2042	Quantitative perimetry examination	0	$45.70
2043	Comprehensive quantitative perimetry examination	0	$63.32
2044	Electro-oculogram	0	$76.33
2045	Electro-oculogram - professional fee	0	$26.91
2047	Dacryocystogram	0	$62.57
2049	Potentiometry	0	$31.31
2067	Manual retinal nerve fibre layer photography	0	$65.18
2068	Ret nerve fibre and neuro-retinal assess. - prof	0	$12.52
2069	Ret nerve fibre and neuro-retinal assess. - tech	0	$52.65
22023	10 or 24 hour tension curve - diurnal	0	$35.27
22046	Posterior segment contact lens exam	2	$11.20
22047	Anterior segment gonioscopy	2	$15.01
22067	Computerized retinal nerve fibre layer photography	0	$55.54
22068	Professional fee -computerized retinal nerve fibre	0	$12.52
22069	Technical fee - computerized retinal nerve fibre	0	$43.02
22075	Computerized corneal topography	0	$58.70
22076	Computerized corneal topography - professional fee	0	$15.92
22077	Computerized corneal topography - technical fee	0	$42.78
2090	Intravitreal injection of vitreous paracentesis	4	$134.43
2091	Anterior chamber paracentesis	4	$134.23
2092	Intravitreal biopsy (microbiology, cytology) or intraocular tumour needle biopsy	4	$215.18
2181	Foreign body intraocular - magnetic extraction - isolated procedure	4	$620.22
2182	- non-magnetic extraction - isolated procedure	4	$750.18
2194	Buckling procedure	5	$807.76
2195	Cryopexy or diathermy for retinal tear or other retinal disorder	5	$226.99
2198	Anterior vitrectomy	4	$349.55
2199	Posterior vitrectomy with 2 or 3 port infusion cutting device. includes membrane peel and/or dissection	5	$910.84
22195	Buckle material or sponge - removal	5	$173.65
22196	Pneumatic retinopexy with air/gas - isolated proc.	5	$387.65
22197	Additional gas (c3f8 or sf6) or air injection	5	$99.69
22198	Repair of scleral laceration and cryopexy and/or gas injection with scleral buckle isolated procedure	5	$981.42
22199	Fluid/gas exchange and silicone injection if required with posterior vitrectomy	5	$67.23
22200	Panretinal endolaser greater than 200 burns when done with a posterior vitrectomy	5	$207.26
22201	Scleral buckle done with posterior vitrectomy	5	$56.01
22202	Intra ocular lens removal/lensectomy when done with a posterior vitrectomy	5	$56.01
22203	Removal of intra-ocular foreign body at the time of posterior vitrectomy	5	$224.07
2188	Cataract linear extraction, congenital, traumatic	0	$279.16
2190	Primary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period - extra	0	$73.47
2192	Secondary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period	0	$481.75
2196	Surgical repositioning of implant lens	0	$225.87
22188	Pediatric cataract extraction-ages 0-7 years	0	$1,122.62
22189	Pediatric cataract extraction-ages 8-16 years	0	$748.41
22191	Cataract - capsulotomy (needling or discission) - isolated procedure	0	$208.26
2167	Cautery or cryotherapy of corneal ulcer	3	$31.83
2168	Keratoplasty - complicated re-operation	4	$956.76
2169	Suture of cornea/sclera (complicated)	4	$701.33
2171	Pterygium or limbus tumour excision	3	$126.95
2172	Gunderson-type flap	3	$294.05
2173	Keratoplasty - lamellar	3	$850.60
2174	Suture of cornea/sclera (simple)	4	$309.98
2175	Keratoplasty - penetrating	4	$851.47
22169	Suture removal at slit lamp following keratoplasty	4	$22.15
22171	Pterygium excision with mucous membrane graft	4	$420.13
22172	Complicated pterygium excision (re-operation) or cancer excision, with mucous membrane graft	4	$604.99
2161	Strabismus (1 or 2 muscles)	3	$374.20
2162	Strabismus (3 or more muscles)	3	$529.31
2163	Strabismus (complicated re-operation)	4	$588.12
22165	Strabismus (5 or more muscles)	4	$764.54
22166	Adjustable suture fee - extra to strabismus	0	$176.44
22167	Prism adaptation and/or amblyopia therapy	0	$138.39
2100	Graded muellerectomy with levator recession under local anesthesiology	3	$470.48
2103	Minor lid repair (operation only)	3	$88.57
2104	Major lid reconstruction (one or two stage)	3	$882.17
2105	Two-stage reconstruction with micrographic tumour excision	3	$1,470.29
2106	Microscopic repair of trichiasis including muscular graft or mucosal membrane graft	3	$582.57
2107	Repair of eyelid margin defect, requiring layered closure	3	$352.88
2146	Trichiasis - epilation (forceps)	3	$22.36
2147	Trichiasis - electric	3	$64.38
2148	Cryotherapy of eyelids for trichiasis or tumour	3	$117.64
2149	Meibomian gland evacuation	0	$22.36
2150	Chalazion removal	3	$78.90
2152	Tarsorrhaphy	3	$116.92
2153	Ectropion/entropian - ziegler or simple procedure	3	$56.35
2154	Ectropion/entropian - complicated	3	$334.98
2155	Ptosis repair - frontalis sling using synthetic material	3	$294.05
2156	Excision of tumour of eyelid margin or conjunctiva benign (operation only)	3	$88.57
2157	Eyelid tumour - benign - excision	3	$38.32
2158	Fasanella-servat procedure	3	$265.00
2159	Ptosis repair - frontalis sling using autologous material	3	$547.30
2160	Ptosis repair (levator resection)	3	$537.77
2166	Lid elevation & scleral graft	3	$470.48
2176	Sclerotomy - posterior with or without insufflation of gas - isolated procedure	4	$131.46
2177	Glaucoma - peripheral iridectomy(isolated proced.)	4	$345.26
2178	Glaucoma - filtering procedure, non-microscopic	4	$598.26
2180	Glaucoma - goniotomy	4	$543.84
2183	Glaucoma - goniotomy repeat within 3 months	4	$225.87
2184	Glaucoma - cyclodialysis	4	$334.98
2187	Glaucoma - filtering procedure, microscopic	4	$644.24
2189	Iridocyclectomy via scleral flap dissection	4	$631.00
2197	Surgical evacuation of a hyphema	4	$518.72
22070	Molteno implant (includes phase 1 and phase 2)	5	$1,072.16
22185	Glaucoma - cycloablative procedures	4	$309.98
22187	Glaucoma - complicated trabeculectomy	4	$939.34
2111	Lacrimal gland micro-dissection	6	$1,119.48
2112	Dacryocystectomy (complex)	4	$1,058.61
2118	Two or three snip procedure	3	$47.95
2119	Dacryocystostomy (la)	3	$35.29
2120	Punctum dilation and syringing sac	3	$25.54
2122	Duct probing - under local anesthesia (operation only)	3	$25.54
2123	Insertion of quickert tube	3	$206.18
2126	Dacryocystorhinostomy	3	$560.17
2127	Repair of canaliculi	3	$494.00
2129	Insertion of lester jones tube	3	$423.43
22121	Duct probing under ga - unilateral or bilateral	3	$176.44
94	Yag laser tray service fee	0	$65.66
2072	Laser interferometry	4	$32.49
2116	Panretinal photocoagulation - > 700 burns max.	4	$524.72
22113	Laser iridotomy per eye	4	$117.64
22114	Laser trabeculoplasty per eye	4	$128.40
22115	Capsulotomy - yag laser, per eye	4	$106.44
22116	Retinal photocoagulation - left	4	$128.40
22117	Retinal photocoagulation - right	4	$128.40
22118	Post-laser follow-up	0	$33.20
22125	Photodynamic thrpy for age-rltd wet macular degene - professional fee	0	$279.77
2101	Orbitotomy - posterior, microdissection	7	$1,764.34
2132	Retrobulbar injection	2	$90.93
2133	Enucleation or evisceration	4	$529.70
2134	Orbit - enucleation with complicated implant	4	$776.31
2135	Orbit - exenteration of	4	$1,008.31
2144	Aspiration needle biopsy of orbit under scan	3	$135.62
2145	Orbital exenteration with en bloc resection of bony orbital walls - ophthalmologist	7	$1,679.65
22136	Biopsy or excision of anterior orbital tumour	4	$352.88
22138	Posterior orbitotomy for removal of posterior orbital tumour not involving the orbital apex or optic nerve	6	$1,411.49
22140	Orbital exploration (posterior route) - to biopsy posterior orbital tumour or to fenestrate optic nerve sheath	6	$1,129.17
22141	Orbital decompression - (1 wall)	6	$635.16
22142	Orbital decompression - (2 wall)	6	$980.91
22143	Orbital decompression - (3 wall)	6	$1,411.49
2073	Botulinum toxin injection for blepharospasm	0	$136.66
2075	Botulinum toxin injection for entropion	0	$74.69
2076	Botulinum toxin injection for strabismus	0	$207.99
2108	Beta radiation	0	$20.74
2109	Subconjunctival injection	0	$22.36
2110	Radioactive plaque	5	$1,002.34
22399	Ophthalmic a-scan to determine axial length	0	$64.34
25007	Ophthalmic a-scan to determine axial length	0	$36.97
25010	Ophthalmic a-scan to determine axial length	0	$77.84
25012	Ophthalmic a-scan to determine axial length	0	$45.81
25013	Ophthalmic a-scan to determine axial length	0	$108.85

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