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 | $82.20 |
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) | $82.20 |
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 | $82.20 |
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 | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $0.00 | |
C123 | Subsequent visits by the Most Responsible Physician (MRP) - second day following the hospital assessment | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $0.00 | |
C124 | Subsequent visits by the Most Responsible Physician (MRP) - day of discharge | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $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 | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $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 | $61.15 |
E083 - Subsequent visit by the MRP Premium (30%) | $0.00 | |
C121 | Subsequent visits by the MRP following transfer from an Intensive Care Area - Additional visits due to intercurrent illness (see General Preamble GP43) … per visit | $31.00 |
C982 | Palliative care (see General Preamble GP50) per visit | $31.00 |
E083 - Subsequent visit by the MRP Premium (30%) | $0.00 | |
A935 | Special surgical consultation (see General Preamble GP19) | $160.00 |
C935 | Special surgical consultation (see General Preamble GP19) | $160.00 |