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G818
G818 – OCT unilateral or bilateral - retinal disease
OHIP Diagnostic and Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
OCT unilateral or bilateral - retinal disease, when the physician interprets the results and either performs the procedure or supervises the performance of the procedure. According to the payment rules on page , OCT services are insured only for the diagnosis and management of retinal disease and/or glaucoma, and must be performed by the ophthalmologist most responsible for the patient's care. Any OCT service rendered in whole or in part for preparation related to cataract surgery is not eligible for payment. This service is not eligible for payment for patients under 18 years of age.
Age
Patient must be 18 years of age or older
Except as described in payment rule #2, OCT is an insured service only: a. for the diagnosis and management of retinal disease and/or glaucoma; and b. when the ophthalmologist performing the service is the physician most responsible for the care of the patient's retinal disease and/or glaucoma.
Any OCT service rendered in whole or in part for preparation related to cataract surgery is not eligible for payment.
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