| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z850 | - when sole procedure or with unlisted minor procedures with general anaesthesia | $200.00 | 6 | N/A |
| E108 - Enucleation, donor eye, postmortem (one or both) | $131.25 | N/A | N/A | |
| E104 - Removal of intraocular foreign body | $542.00 | 6 | 6 | |
| E105 - Nonmagnetic posterior | $424.35 | 6 | 6 | |
| E106 - Penetrating wound with prolapse of intraocular tissue segment | $640.00 | 7 | 6 | |
| E107 - Penetrating wound without prolapse of intraocular tissue | $496.00 | 7 | 6 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z915 | Removal of foreign body - simple | $10.55 | N/A | N/A |
| Z866 | Removal of foreign body - complicated, general anaesthetic | $50.90 | 6 | N/A |
| E302 - Removal of foreign body requiring post auricular or endaural incisions | $202.35 | 6 | N/A | |
| E303 - Removal of foreign body from middle ear space | $202.35 | 6 | N/A | |
| Z906 | Removal of drainage tube(s) - under general anaesthetic, unilateral | $66.50 | 6 | N/A |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z901 | Irrigation of nasolacrimal system unilateral or bilateral | $27.00 | N/A | N/A |
| Z902 | Probing and dilation of duct, initial or repeat - Local anaesthetic - unilateral | $27.00 | N/A | N/A |
| Z864 | Probing and dilation of duct, initial or repeat - General anaesthetic - unilateral or bilateral | $200.00 | 6 | N/A |
| Z865 | Probing and dilation of duct, initial or repeat - General anaesthetic - with insertion of inlying tube or filament | $250.00 | 6 | N/A |
| Z918 | Re-insertion of Lester Jones tube | $52.40 | N/A | N/A |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z851 | Paracentesis | $70.00 | 6 | N/A |
| Z847 | Removal embedded foreign body - local anaesthetic - one foreign body | $33.00 | N/A | N/A |
| Z848 | Removal embedded foreign body - local anaesthetic - two foreign bodies | $45.00 | N/A | N/A |
| Z845 | Removal embedded foreign body - local anaesthetic - three or more foreign bodies | $0.00 | N/A | N/A |
| Z852 | Removal embedded foreign body - general anaesthetic | $74.20 | 6 | N/A |
| Z849 | Chelation of band keratopathy with EDTA - local anaesthetic | $153.80 | N/A | N/A |
| Z863 | Chelation of band keratopathy with EDTA - general anaesthetic | $150.00 | 6 | N/A |
| E128 - Chelation of band keratopathy with EDTA Anterior chamber open evacuation of clot | $496.00 | 6 | 6 | |
| E206 - Pterygium simple (unilateral) | $175.00 | 6 | N/A | |
| E205 - Pterygium with partial keratectomy | $355.00 | 6 | 6 | |
| E207 - Pterygium with lamellar graft | $453.00 | 6 | 6 | |
| E937 - Pterygium with autogenous conjunctival transplant . . . Add | $100.00 | N/A | N/A | |
| E948 - Pterygium with mucous membrane graft . . . Add | $113.20 | N/A | N/A | |
| E117 - Pterygium Keratectomy or relaxing incisions post penetrating keratoplasty or post traumatic corneal scar (non cosmetic) | $308.30 | 6 | 6 | |
| E118 - Excision of dermoid with partial keratectomy | $308.30 | 6 | N/A | |
| E119 - Excision of dermoid with lamellar graft | $542.00 | 6 | 6 | |
| Z854 | Drainage of abscess - local anaesthetic | $60.00 | N/A | N/A |
| Z855 | Drainage of abscess - general anaesthetic | $225.00 | 6 | N/A |
| Z862 | Dacryocystotomy - general anaesthetic | $52.40 | 6 | N/A |
| Z917 | Three “Snip” punctum procedure - per punctum - maximum 4 per patient . . . Add | $65.70 | 6 | N/A |
| E215 - Dacryocystectomy | $496.00 | 6 | 6 | |
| E216 - Lacerated canaliculus immediate repair | $350.00 | 6 | 6 | |
| E217 - Lacerated canaliculus delayed repair | $411.20 | 6 | 6 | |
| E218 - Lacerated canaliculus Dacryocystorhinostomy repeat procedure by second surgeon . . . Add | $150.00 | N/A | N/A | |
| E954 - Lacerated canaliculus Dacryocystorhinostomy with lacrimal bypass procedure (e.g. Lester Jones) or canalicular reconstruction . . . Add | $80.90 | N/A | N/A | |
| E219 - Lacrimal bypass procedure (e.g. Lester Jones) when sole procedure (both stages) | $250.00 | 6 | N/A | |
| Z909 | Biopsy, ear canal | $25.85 | N/A | N/A |
| Z846 | Biopsy, ear canal - general anaesthetic (if sole procedure performed) | $50.90 | 6 | N/A |
| E317 - Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing general anaesthetic | $139.95 | 6 | N/A | |
| E318 - Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing local anaesthetic | $92.40 | N/A | N/A | |
| E305 - Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing Limited incision for perichondritis, removal of cartilage and drainage | $155.30 | 6 | N/A | |
| E306 - Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing Radical surgery for perichondritis | $291.50 | 7 | N/A | |
| Z912 | Myringotomy, to include aspiration when indicated - unilateral | $42.15 | 6 | N/A |
| Z914 | Myringotomy, to include aspiration when indicated - with insertion of ventilation tube using operating microscope unilateral | $78.60 | 6 | N/A |
| Z916 | Intratympanic injection, with or without myringotomy - unilateral | $75.90 | 6 | N/A |
| E320 - Mastoidectomy Cortical mastoidectomy | $345.15 | 10 | 6 | |
| E322 - Mastoidectomy Modified or radical mastoidectomy | $627.10 | 10 | 6 | |
| E315 - Mastoidectomy Revision mastoidectomy with revision of middle ear | $674.00 | 10 | 6 | |
| E946 - Mastoidectomy Revision mastoidectomy with revision of middle ear with mastoid cavity obliteration E315, E320 or E322 . . . Add | $106.45 | N/A | N/A | |
| E959 - Mastoidectomy Revision mastoidectomy with revision of middle ear with meatoplasty and/or canalplasty . . . Add | $106.45 | N/A | N/A | |
| E960 - Mastoidectomy Revision mastoidectomy with revision of middle ear with ossiculoplasty E315, E320 or E322 . . . Add | $13.80 | N/A | N/A | |
| E985 - Mastoidectomy Revision mastoidectomy with revision of middle ear with tympanoplasty, to E315, E320 or E322 . . . Add | $106.45 | N/A | N/A | |
| E319 - Mastoidectomy Atticotomy | $345.30 | 6 | 6 | |
| E323 - Myringoplasty | $209.05 | 6 | N/A |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z860 | Zeigler punctures (for entropion/ectropion) | $26.60 | 6 | N/A |
| E930 - Lateral canthoplasty unilateral when done in conjunction with another procedure . . . Add | $102.35 | N/A | N/A | |
| E199 - Laceration, full thickness | $225.00 | 6 | N/A | |
| E198 - Laceration, full thickness including lid margin | $300.00 | 7 | N/A | |
| E221 - Laceration of eyelid including levator palpebrae superioris with ptosis | $329.30 | 7 | 6 | |
| E200 - Blepharoplasty excision of skin, with or without partial excision of the orbicularis oculi muscle one lid | $82.80 | 6 | N/A | |
| E201 - Blepharoplasty same as E200 plus removal of orbital fat and/or major lid fold reconstruction one lid | $205.55 | 7 | 6 | |
| E211 - Lid lengthening procedure | $288.35 | 6 | 6 | |
| E953 - Lid lengthening procedure with scleral graft . . . add | $80.90 | N/A | N/A | |
| E222 - Primary closure of full thickness lid defect | $290.00 | 6 | 6 | |
| E942 - Primary closure of full thickness lid defect with cantholysis . . . Add | $53.20 | N/A | N/A | |
| E943 - Primary closure of full thickness lid defect with releasing rotation flap including cantholysis . . . Add | $89.45 | N/A | N/A | |
| E223 - Tarsoconjunctival flap and skin graft (Hughes) | $484.35 | 7 | 6 | |
| E224 - Tarsoconjunctival flap and skin graft (Hughes) second stage | $108.45 | 7 | N/A | |
| E225 - Lower or upper eyelid bridge flap | $484.35 | 6 | 6 | |
| E226 - Lower or upper eyelid bridge flap second stage | $108.45 | 6 | N/A | |
| E227 - Temporal rotation flap | $514.80 | 6 | 6 | |
| E944 - Temporal rotation flap with free posterior lamellar graft . . . ADD | $175.15 | N/A | N/A | |
| E228 - Free tarsal, scleral or cartilage graft with local skin mobilization | $535.80 | 7 | 6 | |
| E229 - Free composite eyelid graft | $535.80 | 7 | 6 | |
| E230 - Medial canthoplasty (skin and muscle) | $257.90 | 6 | 6 | |
| E231 - Medial canthal tendon tendon repair only | $267.35 | 7 | 6 | |
| E232 - Medial canthal tendon fixation to bone | $412.05 | 6 | 6 | |
| E233 - Medial canthal tendon fixation to bone when done in conjunction with another procedure . . . add | $153.25 | N/A | N/A | |
| E234 - Lateral canthal surgery Canthotomy | $51.45 | N/A | N/A | |
| E235 - Lateral canthal surgery Cantholysis when primary procedure | $107.50 | 6 | N/A | |
| E236 - Lateral canthal surgery Lateral canthopexy | $255.00 | 6 | N/A | |
| Z913 | Repair of small perforation under local anaesthesia, with or without debridement, unilateral | $39.00 | N/A | N/A |
| E959 - Mastoidectomy Revision mastoidectomy with revision of middle ear with meatoplasty and/or canalplasty . . . Add | $106.45 | N/A | N/A | |
| E336 - Tympanoplasty Type 1 (myringoplasty with exploration of middle ear) | $345.15 | 7 | N/A | |
| E337 - Tympanoplasty Type 1 (myringoplasty with exploration of middle ear) with ossiculoplasty | $468.85 | 10 | N/A | |
| E957 - Tympanoplasty Type 1 (myringoplasty with exploration of middle ear) with ossiculoplasty with mastoidectomy . . . Add | $138.05 | N/A | N/A | |
| E333 - Tympanoplasty Ossiculoplasty | $406.55 | 10 | 6 | |
| E325 - Tympanoplasty Facial nerve decompression | $642.45 | 10 | 6 | |
| E326 - Tympanoplasty Facial nerve grafting (to include decompression) | $987.65 | 10 | 6 | |
| E327 - Tympanoplasty Closure of mastoid fistula | $252.15 | 10 | 6 | |
| E328 - Tympanoplasty Tympanotomy | $288.50 | 10 | N/A | |
| E981 - Tympanoplasty Tympanotomy with removal of middle ear tumour . . . Add | $132.35 | N/A | N/A | |
| E329 - Tympanoplasty Tympanic neurectomy | $370.10 | 10 | N/A | |
| E316 - Tympanoplasty Tympanotomy with fistula repair | $395.05 | 10 | N/A | |
| E332 - Labyrinthotomy or labyrinthectomy (including Fick procedure) | $548.45 | 10 | N/A | |
| E335 - Stapedectomy with prosthesis | $637.15 | 10 | N/A | |
| E331 - Revision stapedectomy | $673.65 | 6 | N/A | |
| E321 - Posterior/superior canal occlusion | $612.70 | 8 | 6 | |
| E339 - Endolymphatic shunt or sac decompression | $661.55 | 10 | 6 | |
| E345 - Temporal bone resection | $1,379.10 | 15 | 10 | |
| E341 - Permanent Cochlear Prosthesis Insertion Intracochlear | $737.30 | 9 | 7 | |
| E346 - Bone Conduction Hearing Aid Insertion implantable, including necessary mastoidectomy | $345.15 | 7 | 6 | |
| E383 - All levels acute spinal cord injury premium . . . Add | $255.00 | N/A | N/A | |
| E382 - All levels spinal duroplasty using autologous/allogenic/synthetic tissue . . . Add | $244.80 | N/A | N/A |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z871 | Ulcer cautery - local anaesthetic | $26.60 | N/A | N/A |
| Z853 | Ulcer cautery -general anaesthetic | $74.20 | 6 | N/A |
| E937 - Pterygium with autogenous conjunctival transplant . . . Add | $100.00 | N/A | N/A | |
| E121 - Corneal transplant penetrating | $740.00 | 7 | 6 | |
| E951 - Corneal transplant penetrating with artificial prosthesis . . . add | $52.40 | N/A | N/A | |
| E122 - Corneal transplant lamellar | $590.00 | 7 | 6 | |
| E124 - Corneal transplant Limbal stem cell transplant | $740.00 | 8 | 6 | |
| E123 - Division of iris to cornea | $161.75 | 6 | N/A | |
| E127 - Sclerotomy, posterior | $166.45 | 4 | N/A | |
| E131 - Laser iridotomy | $161.75 | 6 | 6 | |
| E134 - Laser angle surgery | $205.55 | 7 | N/A | |
| E130 - Iridectomy surgical when sole procedure | $308.30 | 6 | 6 | |
| E132 - Glaucoma filtering procedures | $550.00 | 6 | 6 | |
| E136 - Glaucoma filtering procedures with intraocular implant of seton, to E132 . . . Add | $290.00 | N/A | N/A | |
| E214 - Glaucoma filtering procedure and cataract extraction (same eye) | $729.00 | 6 | 6 | |
| E950 - Glaucoma filtering procedure and cataract extraction (same eye) insertion of intraocular lens, to E214 . . . Add | $92.50 | N/A | N/A | |
| E984 - Glaucoma filtering procedure and cataract extraction (same eye) following previous glaucoma filtering procedure, to E214 . . . Add | $137.50 | N/A | N/A | |
| E212 - Bleb repair with conjunctival pulldown | $210.00 | 6 | 6 | |
| E213 - Bleb repair with conjunctival, scleral or mucous membrane graft | $262.50 | 6 | 6 | |
| E133 - Extraocular glaucoma procedures | $182.75 | 6 | 6 | |
| E135 - Ciliary body reattachment | $505.45 | 7 | 6 | |
| E156 - Intraocular suturing of iris/pupillary defect | $350.00 | 7 | 6 | |
| E157 - Placement and suturing of iris prosthetic device with or without suturing of iris/pupillary defect | $550.00 | 7 | 6 | |
| E137 - Needling (discission) primary or subsequent | $161.75 | 5 | 6 | |
| E139 - Capsulotomy | $161.75 | 5 | 6 | |
| E140 - Cataract all types of, by any procedure, includes insertion of intraocular lens | $397.75 | 5 | N/A | |
| E141 - Cataract dislocated lens extraction | $505.45 | 5 | 6 | |
| E143 - Cataract Excision of secondary membrane with corneal section following cataract extraction | $450.00 | 5 | 6 | |
| E138 - Cataract Fixation of intraocular lens and/or capsular tension device by suturing | $450.00 | 5 | 6 | |
| E144 - Cataract Removal of intraocular lens | $450.00 | 5 | 6 | |
| E145 - Cataract Repositioning surgical of dislocated intraocular lens | $350.00 | 5 | N/A | |
| E146 - Cataract Insertion of secondary intraocular lens | $400.00 | 5 | 6 | |
| E940 - Anterior vitrectomy when done in conjunction with another intraocular procedure . . . Add | $105.00 | N/A | N/A | |
| E148 - Anterior vitrectomy Vitrectomy by infusion suction cutter technique | $720.00 | 7 | 6 | |
| E938 - Anterior vitrectomy Vitrectomy by infusion suction cutter technique with transscleral retinal suturing . . . Add | $213.20 | N/A | N/A | |
| E147 - Anterior vitrectomy Intravitreal injection of medication for the treatment of wet macular degeneration | $90.00 | 5 | N/A | |
| E149 - Anterior vitrectomy Vitreous injection or aspiration, posterior with needle for culture and/or injection of medication, other than for macular degeneration | $90.00 | 5 | N/A | |
| E142 - Anterior vitrectomy Preretinal membrane peeling or segmentation to include posterior vitrectomy and coagulation | $830.00 | 6 | 6 | |
| E936 - Vitreous exchange (air, gas or artificial vitreous substance) to vitrectomy . . . add | $90.00 | N/A | N/A | |
| E151 - Reattachment of retina and choroid by diathermy, photocoagulation or cryopexy as an initial procedure | $282.65 | 6 | 6 | |
| E152 - Scleral resection or buckling procedure with or without diathermy, photocoagulation or cryopexy, primary or subsequent procedure | $700.00 | 7 | 6 | |
| E153 - Secondary operation following unsuccessful operation or fresh detachment in the same eye by a different surgeon with or without diathermy, photocoagulation or cryopexy | $840.00 | 7 | 6 | |
| E161 - Removal of scleral implant | $250.00 | 6 | N/A | |
| E154 - Photocoagulation (xenon, argon laser, etc.) one eye | $182.75 | 6 | N/A | |
| E125 - Laser retinopexy for Retinopathy of Prematurity – one eye | $750.00 | 6 | N/A | |
| E126 - Laser retinopexy for Retinopathy of Prematurity – both eyes | $1,245.00 | 6 | N/A | |
| E155 - Cryopexy extraocular or subconjunctival one eye | $205.00 | N/A | N/A | |
| E159 - Strabismus procedures one muscle, one or both eyes | $369.00 | 6 | 6 | |
| E158 - Strabismus procedures two muscles, one or both eyes | $460.00 | 6 | 6 | |
| E162 - Strabismus procedures three or more muscles, one or both eyes | $542.00 | 6 | 6 | |
| E949 - Strabismus procedures for adjustable suture . . . Add | $100.00 | N/A | N/A | |
| E952 - Strabismus procedures repeat strabismus procedure . . . Add | $175.00 | N/A | N/A | |
| E164 - Drainage of abscess | $350.00 | 7 | N/A | |
| E102 - Enucleation, with or without primary implant | $542.00 | 7 | 6 | |
| E103 - Evisceration, with or without primary implant | $542.00 | 7 | 6 | |
| E109 - Enucleation/evisceration with insertion of implant and reattachment of extraocular muscles | $677.50 | 7 | 6 | |
| E171 - Exenteration | $1,005.00 | 6 | 6 | |
| E941 - Exenteration with major plastic repair. . . add | $296.90 | N/A | N/A | |
| E181 - Secondary orbital implant | $640.00 | 6 | 6 | |
| E166 - Tumour or foreign body anterior route | $450.00 | 6 | 6 | |
| E167 - Tumour or foreign body posterior exposure | $640.00 | 7 | 6 | |
| E172 - Tumour or foreign body Biopsy (anterior) | $200.00 | 6 | N/A | |
| E168 - Tumour or foreign body Biopsy (posterior exposure) | $308.30 | 6 | N/A | |
| E165 - Tumour or foreign body Lateral orbitotomy (Kronlein) | $590.00 | 7 | 6 | |
| E169 - Decompression two walls | $542.00 | 6 | 6 | |
| E170 - Decompression three walls | $575.85 | 6 | 6 | |
| E160 - Dermis fat graft immediately following enucleation | $190.30 | N/A | N/A | |
| E163 - Dermis fat graft delayed | $514.80 | 7 | 6 | |
| E176 - Fornix reconstruction | $325.00 | 7 | N/A | |
| E177 - Fornix reconstruction with mucous membrane graft | $321.60 | 6 | N/A | |
| E178 - Free mucous membrane graft full thickness | $222.65 | 7 | N/A | |
| E179 - Free mucous membrane graft split thickness | $296.90 | 6 | N/A | |
| E180 - Free mucous membrane graft Alloplastic volume replacement | $411.20 | 7 | N/A | |
| Z874 | Chalazion - Single or multiple - local anaesthetic | $70.00 | N/A | N/A |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | N/A | N/A | |
| Z856 | Chalazion - Single or multiple - general anaesthetic | $150.00 | 6 | N/A |
| Z857 | Epilation - by hyfrecator, electrolysis | $26.60 | 6 | N/A |
| Z858 | Epilation - by cryopexy | $65.70 | 6 | N/A |
| E948 - Pterygium with mucous membrane graft . . . Add | $113.20 | N/A | N/A | |
| E190 - Tarsorrhaphy | $150.00 | 6 | N/A | |
| E191 - Double adhesion | $161.75 | 7 | N/A | |
| E192 - Ptosis | $313.15 | 6 | 6 | |
| E193 - Ptosis repeat or second repair | $393.00 | 6 | 6 | |
| E194 - Distichiasis unilateral | $289.00 | 6 | 6 | |
| E195 - Trichiasis, repair by tarsal transplantation | $241.70 | 7 | 6 | |
| E196 - Entropion, other than Zeigler puncture | $290.00 | 6 | 6 | |
| E945 - Entropion, other than Zeigler puncture repeat by second surgeon . . . Add | $52.40 | N/A | N/A | |
| E197 - Ectropion, other than Zeigler puncture | $310.00 | 6 | 6 | |
| Z861 | Biopsy | $26.60 | 6 | N/A |
| E937 - Pterygium with autogenous conjunctival transplant . . . Add | $100.00 | N/A | N/A | |
| E948 - Pterygium with mucous membrane graft . . . Add | $113.20 | N/A | N/A | |
| E210 - Excision of conjunctival lesion | $100.00 | 6 | N/A | |
| Z904 | Local excision, polyp - office | $25.85 | N/A | N/A |
| Z905 | Local excision, polyp - hospital | $50.90 | 6 | N/A |
| E300 - Resection of pinna with primary closure | $248.05 | 6 | N/A | |
| E301 - Resection of pinna with local flap | $355.35 | 6 | N/A | |
| E311 - Exostosis endomeatal surgery and removal and drilling out of exostosis | $243.35 | 7 | N/A | |
| E312 - Exostosis with multiple removal with necessary grafting | $355.40 | 7 | N/A | |
| E313 - Exostosis post auricular approach | $362.55 | 6 | N/A | |
| Z903 | Exostosis - Pre-auricular sinus | $62.95 | N/A | N/A |
| E309 - general anaesthetic | $208.05 | 6 | N/A | |
| E307 - Congenital defects External minor | $219.60 | 6 | 6 | |
| E308 - Congenital defects External major | $345.15 | 7 | 6 | |
| E310 - Congenital defects Otoplasty for correction of outstanding ears unilateral | $247.35 | 7 | 6 | |
| E304 - Congenital defects Reconstruction of total ear with cartilage graft (e.g. Brent Technique), first stage | $619.35 | 6 | 6 | |
| E314 - Meatoplasty or canalplasty for congenital malformation | $297.25 | 7 | 6 | |
| E955 - Meatoplasty or canalplasty for congenital malformation with grafting of canal . . . add | $203.25 | N/A | N/A | |
| E956 - Meatoplasty or canalplasty for congenital malformation with tympanoplasty and/or ossiculoplasty, and/or mastoidectomy . . . add | $399.90 | 2 | N/A |