Ophthalmology OHIP billing codes

These are the most commonly used Ophthalmology OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


General Listings

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

Non Emergency Hospital In Patient Services

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

Other

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