Ophthalmology OHIP billing codes


General Listings

Code Description Amount Ans Units Assist Units
A235 Consultation $82.30 N/A N/A
A236 Repeat consultation $45.85 N/A N/A
A231 Neuroophthalmology consultation $120.00 N/A N/A
A233 Specific assessment $57.70 N/A N/A
A234 Partial assessment $28.95 N/A N/A
E423 - manual cycloplegic refraction, to A233 or A234 … add $25.00 N/A N/A
U235 Initial e-assessment $45.85 N/A N/A
U233 Repeat e-assessment $43.30 N/A N/A
U236 Follow-up e-assessment $28.95 N/A N/A
U231 Minor e-assessment $15.00 N/A N/A
A237 Periodic oculo-visual assessment - aged 19 years and below $56.60 N/A N/A
A239 Periodic oculo-visual assessment - aged 65 years and above $56.60 N/A N/A
A230 Orthoptic assessment $25.00 N/A N/A
A250 Retinopathy of prematurity (ROP) assessment $120.00 N/A N/A
A252 Initial vision rehabilitation assessment $240.00 N/A N/A
A254 Follow-up vision rehabilitation assessment $120.00 N/A N/A
A253 Optometrist-requested assessment (ORA) $82.30 N/A N/A
A256 Special optometrist-requested assessment $144.75 N/A N/A
A251 Special ophthalmologic assessment $120.00 N/A N/A

Non Emergency Hospital In Patient Services

Code Description Amount Ans Units Assist Units
C235 Consultation $82.30 N/A N/A
C236 Repeat consultation $45.85 N/A N/A
C231 Neuro-Ophthalmology Consultation – subject to the same conditions as A231 $120.00 N/A N/A
C233 Specific assessment $57.70 N/A N/A
C234 Specific re-assessment $29.35 N/A N/A
C250 Retinopathy of prematurity assessment - subject to the same conditions as A250 $120.00 N/A N/A
C232 Subsequent visits - first five weeks … per visit $31.00 N/A N/A
C237 Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit $31.00 N/A N/A
C239 Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit $31.00 N/A N/A
C238 Concurrent care … per visit $31.00 N/A N/A
W535 Consultation $82.30 N/A N/A
W536 Repeat consultation $45.85 N/A N/A
W231 Neuro-Ophthalmology Consultation – subject to the same conditions as A231 $120.00 N/A N/A

Other

Code Description Amount Ans Units Assist Units
A935 Special surgical consultation (see General Preamble GP13) $160.00 N/A N/A
A115 Major eye examination $51.10 N/A N/A
C935 Special surgical consultation (see General Preamble GP13) $160.00 N/A N/A
C122 Subsequent visits by the Most Responsible Physician (MRP) - day following the hospital admission assessment $58.80 N/A N/A
C123 Subsequent visits by the Most Responsible Physician (MRP) - second day following the hospital assessment $58.80 N/A N/A
C124 Subsequent visits by the Most Responsible Physician (MRP) - day of discharge $58.80 N/A N/A
C142 Subsequent visits by the MRP following transfer from an Intensive Care Area - first subsequent visit by the MRP following transfer from an Intensive Care Area $58.80 N/A N/A
C143 Subsequent visits by the MRP following transfer from an Intensive Care Area -second subsequent visit by the MRP following transfer from an Intensive Care Area $58.80 N/A N/A
C121 Subsequent visits by the MRP following transfer from an Intensive Care Area - Additional visits due to intercurrent illness (see General Preamble GP28) … per visit $31.00 N/A N/A
C982 Palliative care (see General Preamble GP34) … per visit $31.00 N/A N/A