These are the most commonly used Ophthalmology OHIP billing codes. To find other billing codes search the OHIP fee schedule here .
| Code | Description | Amount |
|---|---|---|
| A235 | Consultation | $82.30 |
| A236 | Repeat consultation | $45.85 |
| A231 | Neuroophthalmology consultation | $120.00 |
| A233 | Specific assessment | $57.70 |
| A234 | Partial assessment | $28.95 |
| E423 - manual cycloplegic refraction, to A233 or A234 … add | $25.00 | |
| U235 | Initial e-assessment | $45.85 |
| U233 | Repeat e-assessment | $43.30 |
| U236 | Follow-up e-assessment | $28.95 |
| U231 | Minor e-assessment | $15.00 |
| A237 | Periodic oculo-visual assessment - aged 19 years and below | $56.60 |
| A239 | Periodic oculo-visual assessment - aged 65 years and above | $56.60 |
| A230 | Orthoptic assessment | $25.00 |
| A250 | Retinopathy of prematurity (ROP) assessment | $120.00 |
| A252 | Initial vision rehabilitation assessment | $240.00 |
| A254 | Follow-up vision rehabilitation assessment | $120.00 |
| A253 | Optometrist-requested assessment (ORA) | $82.30 |
| A256 | Special optometrist-requested assessment | $144.75 |
| A251 | Special ophthalmologic assessment | $120.00 |
| Code | Description | Amount |
|---|---|---|
| C235 | Consultation | $82.30 |
| C236 | Repeat consultation | $45.85 |
| C231 | Neuro-Ophthalmology Consultation – subject to the same conditions as A231 | $120.00 |
| C233 | Specific assessment | $57.70 |
| C234 | Specific re-assessment | $29.35 |
| C250 | Retinopathy of prematurity assessment - subject to the same conditions as A250 | $120.00 |
| C232 | Subsequent visits - first five weeks … per visit | $31.00 |
| C237 | Subsequent visits - sixth to thirteenth week inclusive (maximum 3 per patient per week) … per visit | $31.00 |
| C239 | Subsequent visits - after thirteenth week (maximum 6 per patient per month) … per visit | $31.00 |
| C238 | Concurrent care … per visit | $31.00 |
| W535 | Consultation | $82.30 |
| W536 | Repeat consultation | $45.85 |
| W231 | Neuro-Ophthalmology Consultation – subject to the same conditions as A231 | $120.00 |
| Code | Description | Amount |
|---|---|---|
| A115 | Major eye examination | $51.10 |
| C122 | Subsequent visits by the Most Responsible Physician (MRP) - day following the hospital admission assessment | $58.80 |
| E083 - Subsequent visit by the MRP Premium | $0.00 | |
| C123 | Subsequent visits by the Most Responsible Physician (MRP) - second day following the hospital assessment | $58.80 |
| E083 - Subsequent visit by the MRP Premium | $0.00 | |
| C124 | Subsequent visits by the Most Responsible Physician (MRP) - day of discharge | $58.80 |
| E083 - Subsequent visit by the MRP Premium | $0.00 | |
| 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 |
| E083 - Subsequent visit by the MRP Premium | $0.00 | |
| 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 |
| E083 - Subsequent visit by the MRP Premium | $0.00 | |
| 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 |
| C982 | Palliative care | $31.00 |
| E083 - Subsequent visit by the MRP Premium | $0.00 | |
| A935 | Special surgical consultation (see General Preamble GP13) | $160.00 |
| C935 | Special surgical consultation (see General Preamble GP13) | $160.00 |