Ophthalmology OHIP billing codes

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

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

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
	E083 - Subsequent visit by the MRP Premium	$0.00	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
	E083 - Subsequent visit by the MRP Premium	$0.00	N/A	N/A
C124	Subsequent visits by the Most Responsible Physician (MRP) - day of discharge	$58.80	N/A	N/A
	E083 - Subsequent visit by the MRP Premium	$0.00	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
	E083 - Subsequent visit by the MRP Premium	$0.00	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
	E083 - Subsequent visit by the MRP Premium	$0.00	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	$31.00	N/A	N/A
	E083 - Subsequent visit by the MRP Premium	$0.00	N/A	N/A