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Surgical specialties & anaesthesia
Ophthalmology OHIP billing codes
Eye consultations and assessments, office diagnostics, injections and laser, cataract, cornea, eyelid and lacrimal, retina, strabismus and glaucoma surgery.
131 codes in 14 sections, fees from the current Schedule of Benefits. Every code the Schedule lists for specialty 23 is in the full Ophthalmology listing.
Consultations & assessments — office
- A235Ophthalmology Consultation—
- A233Specific assessmentSpecific assessment - Ophthalmology—
- A234Ophthalmology partial assessment—
- A236Repeat consultationRepeat consultation - Ophthalmology—
- A251Special ophthalmologic assessment—
- A231Neuro-ophthalmology consultation—
- A253Optometrist-Requested Assessment (ORA)—
- A237Periodic oculo-visual assessment - aged 19 years and below—
- A239Periodic oculo-visual assessment - aged 65 years and above—
- A230Orthoptic assessment—
- A250Retinopathy of prematurity assessment—
- A930Uveitis and ocular inflammatory diseases consultation—
- A115Major eye examinationMajor eye examination for patients aged 20 to 64 inclusive.$53.60
E-assessments
- U235Initial E-AssessmentA virtual assessment initiated by a primary care physician or nurse practitioner's request to an Ophthalmology specialist. This service involves reviewing the patient's data and providing a written opinion with diagnosis or management advice.—
- U236Follow-Up E-AssessmentA limited e-assessment rendered by a specialist for follow-up on a patient for the same diagnosis for which a previous insured service was rendered. The specialist reviews submitted information and provides an opinion or management advice to the referring primary care physician or nurse practitioner.—
- U231Minor E-AssessmentA brief e-assessment rendered by the specialist. The specialist must review all relevant information submitted and provide an answer to the primary care physician’s or nurse practitioner’s specific clinical question.—
- U233Repeat E-AssessmentA repeat electronic assessment by a specialist for the same diagnosis, requested by a primary care physician or nurse practitioner, following a previous consultation or e-assessment. This service involves reviewing relevant data and providing a written opinion with management advice.—
Hospital in-patient
- C235Ophthalmology Consultation - Non-Emergency Hospital In-PatientA consultation rendered by an Ophthalmology (<specialtyCode>23</specialtyCode>) specialist for a non-emergency hospital in-patient, following a written request from a referring practitioner as defined in <SectionPages>GP16</SectionPages>.—
- C233Specific assessmentA specific assessment for ophthalmology rendered to a non-emergency hospital in-patient. It involves a detailed history and examination of the affected eye or visual system.—
- C234Specific re-assessmentA specific re-assessment for an ophthalmology patient in a non-emergency hospital in-patient setting. This service requires a full, relevant history and physical examination of one or more systems.—
- C236Repeat consultationThis is a repeat consultation provided by an Ophthalmologist to a non-emergency hospital in-patient. A repeat consultation is an additional consultation for the same problem, rendered after another physician has provided care since the initial consultation, and requires a new written request.—
- C232Subsequent visit - first five weeksA subsequent visit by an ophthalmologist for a non-emergency hospital in-patient, payable once per day during the first five weeks of admission.—
- C237Subsequent visit - sixth to thirteenth week inclusiveA routine subsequent visit by an ophthalmologist for a hospital in-patient, rendered during the sixth to thirteenth week of hospitalization. This service is limited to a maximum of three visits per week.—
- C239Subsequent visit - after thirteenth weekA routine subsequent visit by an ophthalmologist for a hospital in-patient, rendered after the thirteenth week following admission, limited to a maximum of 6 visits per patient per month.—
- C238Concurrent careA routine assessment provided by a consultant for a hospital in-patient, requested by the patient's primary Most Responsible Physician (MRP). This service has specific weekly billing limits.—
- C231Neuro-Ophthalmology ConsultationA neuro-ophthalmology consultation rendered for a non-emergency hospital in-patient, subject to the same conditions as an outpatient Neuro-Ophthalmology Consultation (<billingCode>A231</billingCode>).—
- C250Retinopathy of prematurity assessmentAn in-hospital assessment by an ophthalmologist for retinopathy of prematurity. This service is subject to the same conditions as the out-of-hospital assessment, <billingCode>A250</billingCode>.—
- C930Uveitis and ocular inflammatory diseases consultationA consultation provided by an ophthalmologist to a hospital in-patient for uveitis and ocular inflammatory diseases. This service is subject to the same conditions as <billingCode>A930</billingCode>.—
Office diagnostics
- G435TonometryTonometry is a diagnostic procedure to measure intraocular pressure. This service cannot be claimed in conjunction with an ophthalmological consultation or specific assessment as this is an included component of those services.$5.10
- G432Visual fields - static - professional componentThe professional component for static visual field perimetry. This service is only payable when there is underlying pathology (present or suspected) and specific technical requirements for the test are met.$26.95
- G436Visual fields - kinetic (professional component)Professional component for the interpretation of a kinetic visual field test. This service requires a permanent record and is the professional counterpart to the technical component, `<billingCode>G857</billingCode>`. $14.50
- G818OCT unilateral or bilateral - retinal diseaseA unilateral or bilateral Optical Coherence Tomography (OCT) for retinal disease. This service, which includes interpretation, is only payable when performed by the most responsible ophthalmologist for the patient's retinal care and is not covered for cataract surgery preparation or for patients under 18.$35.00
- G820OCT unilateral or bilateral - glaucomaOptical coherence tomography (OCT) for glaucoma, performed unilaterally or bilaterally. The service includes the physician interpreting the results and either performing the procedure or supervising its performance, and is for patients 18 years of age and older.$35.00
- G821OCT unilateral or bilateral - active management of retinal disease with laser or intravitreal injectionsA unilateral or bilateral Optical Coherence Tomography (OCT) for the active management of retinal disease using laser or intravitreal injections. The service is intended for patients aged 18 and over.$35.00
- G822OCT unilateral or bilateral - active management with laser or intravitreal injections for neovascularizationProvides for a unilateral or bilateral Optical Coherence Tomography (OCT) for the active management of neovascularization in specific retinal diseases, such as wet AMD, diabetic macular edema, or retinal vein occlusion. This service is intended for use after limits for other OCT codes (<billingCode>G818</billingCode>, <billingCode>G820</billingCode>, <billingCode>G821</billingCode>) have been reached.$25.00
- G823OCT unilateral or bilateral - evaluation of an infant/child/adolescent with retinal disease and/or glaucomaOptical coherence tomography (OCT) for evaluating retinal disease, glaucoma, or low vision in patients under 18. This service is for unilateral or bilateral assessment, where the physician interprets the results or supervises the performance of the procedure.$35.00
- G425Fluorescein angiography - professional componentThe professional component for fluorescein angiography, a diagnostic procedure used to examine blood vessels in the retina. For bilateral procedures, the benefit is increased by 50%.$44.40
- G444Fluorescein angioscopy - professional componentProfessional component for fluorescein angioscopy, a diagnostic test for the eye. A 50% premium applies for bilateral procedures.$7.00
- G811Keratometry, professional componentThe professional component for keratometry, the measurement of the central 4mm of the cornea, used for assessing patients with specific conditions such as irregular astigmatism, keratoconus, or post-operative states.$4.80
- G812Specular photomicroscopy, professional componentProvides for the professional component of specular photomicroscopy, an examination of the cornea, prior to intraocular surgery for patients with conditions that may compromise the corneal endothelium.$4.80
- G813Corneal pachymetry, professional componentThe professional component for measuring corneal thickness using pachymetry. This test helps identify patients at risk for glaucoma based on specific clinical indicators and is limited to once per lifetime.$5.10
- G439Full field electro-retinography - professional componentThe professional component for a full-field electro-retinography, including the report. This service is limited to 2 per patient per 12-month period.$75.00
- G524Multi-focal electro-retinography - professional componentThe professional component for multi-focal electro-retinography, covering the interpretation and report. This service is limited to twice per patient per 12-month period and is used to evaluate retinal disorders affecting high-resolution vision.$75.00
- G437Dark adaptation curve - professional componentThe professional component (interpretation and report) for a dark adaptation curve test, typically using a Goldmann adaptometer. This service is billed in conjunction with the technical component, `<billingCode>G851</billingCode>`.$22.90
- G438Colour vision detailed assessment - professional componentProfessional component for a detailed colour vision assessment, used only when underlying pathology is present or suspected. This service is not for routine screening.$22.15
- G453Electro-oculogram - interpretation feeProvides payment for the professional interpretation of an electro-oculogram (EOG), a test measuring the electrical potential between the cornea and retina to assess retinal function.$41.60
- G426Glaucoma provocative testsA diagnostic procedure involving provocative tests, such as water drinking tests, used to assess a patient for glaucoma.$9.70
- G428Hess screen examination - professional componentProfessional component for a Hess screen examination. This is the physician's fee for interpreting and reporting on the test, which is performed using the technical component `<billingCode>G855</billingCode>`.$6.85
- G147Visual evoked response - professional componentThe professional component for a simple visual evoked response test. This service involves the physician's interpretation and report of the test findings.$12.30
- G150Visual evoked response - threshold - professional componentProfessional component for a visual evoked response (threshold) test, which involves the interpretation and reporting on the test results.$19.20
Contact lenses
- G423Contact lens fitting - One eye onlyProvides for the fitting of a contact lens in one eye when the other eye has been previously fitted, including 3 months of follow-up care. Payment is only available for specific medical conditions and requires prior confirmation with the Ministry of Health.$90.30
- G424Contact lens fittingA service for the fitting of a contact lens which includes follow-up care for 3 months. This service is only a benefit under specific conditions, and eligibility should be confirmed with a Ministry of Health Medical Consultant.$201.00
- G463Hydrophilic Bandage lens fitting$90.30
- G431Contact lens fitting - under general anaesthesiaA procedure for fitting contact lenses on a patient who is under general anaesthesia.$41.60
Injections & laser
- E186Intravitreal injection of medication for the treatment of wet macular degeneration, left eyeA surgical procedure for an intravitreal injection of medication into the left eye to treat wet macular degeneration. This service has specific limitations on frequency and rules for billing add-on procedures and anaesthesia.$90.00
- E187Intravitreal injection of medication for the treatment of wet macular degeneration, right eyeSurgical procedure for an intravitreal injection of medication into the right eye for the treatment of wet macular degeneration. This service is limited to 12 per patient per 12-month period and has specific billing rules for anaesthesia and add-on procedures.$90.00
- E149Vitreous injection or aspirationA surgical procedure for posterior vitreous injection or aspiration using a needle. It is performed for diagnostic (culture) or therapeutic (medication injection) purposes, excluding treatment for macular degeneration.$90.00
- G421Subconjunctival or sub-Tenons capsule injectionA procedure for a subconjunctival or sub-Tenon's capsule injection. Payment is increased by 50% for bilateral procedures.$27.70
- E131Laser iridotomyA surgical procedure involving the use of a laser to create an opening in the iris of the eye, typically performed to treat or prevent specific types of glaucoma.$161.75
- E133Extraocular glaucoma proceduresA surgical procedure involving extraocular techniques for the management of glaucoma.$182.75
- E134Laser angle surgery or trans-scleral or endoscopic cyclo-photocoagulation of the ciliary bodyA surgical procedure involving laser surgery on the angle of the eye, typically to treat glaucoma. This service is eligible for surgeon and anaesthetist fees.$205.55
- E154Photocoagulation (xenon, argon laser, etc.) - one eyePhotocoagulation of the retina in one eye using xenon, argon laser, or a similar method. This is a surgical procedure.$182.75
- E155Cryopexy - extraocular or sub-conjunctival - one eyeA surgical procedure involving the application of extreme cold (cryopexy) via an extraocular or sub-conjunctival approach to treat retinal conditions in a single eye.$205.00
- E139Capsulotomy or primary or subsequent needlingSurgical incision into the capsule of the eye's crystalline lens. Payment includes provisions for surgeon, assistant, and anaesthetist roles, with specific billing rules and limitations, particularly for anaesthesia services.$161.75
- E125Laser retinopexy for Retinopathy of Prematurity or retinoblastomaA surgical procedure involving laser retinopexy for the treatment of Retinopathy of Prematurity (ROP) on a single eye. This service is typically performed on premature infants.$750.00
Cataract & lens
- E140Cataract extraction and insertion of artificial intraocular lensCataract extraction, all types, by any procedure, includes extraction of native lens and insertion of artificial intraocular lens, and retrobulbar injection when administered by surgeon.$397.75
- E950Insertion of artificial intraocular lensAdd-on fee for the insertion of an intraocular lens, payable in addition to either `<billingCode>E141</billingCode>` (dislocated lens extraction) or `<billingCode>E144</billingCode>` (removal of artificial intraocular lens).$92.50
- E141Dislocated lens extractionSurgical excision of a dislocated crystalline lens. This procedure is eligible for assistant and anaesthesia services and may be billed with an add-on code for the insertion of an intraocular lens.$505.45
- E138Scleral fixation of artificial intraocular lens and/or sutured capsular tension deviceA surgical procedure for the fixation of an intraocular lens (IOL) and/or a capsular tension device (CTD) by using sutures. This is typically performed to secure or re-center a displaced IOL.$450.00
- E144Removal of artificial intraocular lensSurgical procedure for the removal of an intraocular lens. This code is used for the excision of an IOL and has specific billing rules, especially regarding anaesthesia services.$450.00
- E145Repositioning surgical of dislocated intraocular lensSurgical repositioning of a dislocated intraocular lens. This is a surgical procedure on the eye's crystalline lens.$350.00
- E146Insertion of artificial intraocular lens for aphakic eyeA surgical procedure for the insertion of a secondary intraocular lens. Payment for assistants and anaesthetists is based on units, with specific rules for anaesthesia.$400.00
Cornea & conjunctiva
- E206Pterygium - simple (unilateral)A surgical procedure for the simple, unilateral excision of a pterygium, which is a benign growth of conjunctival tissue extending onto the cornea.$175.00
- E205Pterygium - with partial keratectomySurgical excision of a pterygium (a fleshy growth on the cornea) that includes partial removal of corneal tissue (keratectomy).$355.00
- E207Pterygium - with lamellar graftSurgical excision of a pterygium from the cornea, followed by repair with a lamellar graft. This is a unilateral procedure.$453.00
- E937Pterygium - with autogenous conjunctival transplantAn add-on fee for performing an autogenous conjunctival transplant in conjunction with specific ocular procedures, such as pterygium excision, fornix reconstruction, or excision of a conjunctival lesion.$191.05
- E121Corneal transplant - penetratingA surgical procedure for a penetrating corneal transplant, which involves replacing the patient's cornea.$740.00
- E122Corneal transplant - lamellarA surgical procedure for a lamellar corneal transplant, which involves replacing a layer of the cornea. This service is eligible for assistant and anaesthesia fees.$590.00
- E202Corneal cross-linking$200.00
- Z871Ulcer cautery - local anaestheticCauterization of a corneal ulcer under local anaesthetic. This service includes other therapeutic actions like laser or electrocautery, epithelial debridement, cryotherapy, corneal biopsy, or corneal puncture.$26.60
- Z861Biopsy of conjunctivaA surgical procedure involving the excision of a tissue sample from the conjunctiva for diagnostic purposes.$26.60
- Z847Removal of one embedded foreign bodySurgical removal of a single embedded foreign body from the cornea, performed under local anaesthetic.$33.00
- Z848Removal of two embedded foreign bodiesSurgical procedure for the removal of two embedded foreign bodies from the cornea under local anaesthesia.$45.00
- Z845Removal of three or more embedded foreign bodiesProcedure for the removal of three or more embedded foreign bodies from the cornea under local anaesthesia. This service is paid by Independent Consideration (IC).—
- Z852Removal embedded foreign body - general anaestheticSurgical removal of an embedded foreign body from the cornea, requiring a general anaesthetic.$74.20
- E175Therapeutic paracentesisAn add-on code for therapeutic paracentesis performed in conjunction with specific intravitreal or vitreous injection or aspiration procedures.$20.00
- Z844Diagnostic ParacentesisA surgical procedure to draw fluid from the eye for diagnostic purposes, such as suspected intraocular infection, uveitis, or cancer.$100.00
- Z851Therapeutic paracentesisPerforms a therapeutic paracentesis, which is an incision into the cornea of the eye to remove fluid. This is a surgical procedure and may be performed under general anaesthesia.$70.00
Eyelids & lacrimal
- Z874Chalazion, single or multiple - local anaestheticSurgical excision of one or more chalazia from the eyelid, performed under local anaesthetic. An additional premium (<billingCode>E542</billingCode>) is available when performed outside a hospital.$70.00
- Z856Chalazion, single or multiple - general anaestheticSurgical excision of one or more chalazia from an eyelid, performed under general anaesthetic. This service is designated with a '#' symbol, indicating facility-funded resources.$150.00
- Z860Zeigler puncturesA surgical procedure involving Zeigler punctures for the repair of entropion or ectropion of the eyelid. This service can be billed for the surgeon (A suffix) and anaesthetist (C suffix).$26.60
- Z854Drainage of abscess - local anaestheticSurgical drainage of an abscess of the eyelid performed under local anaesthetic.$60.00
- Z855Drainage of abscess - general anaestheticSurgical drainage of an abscess of the eyelid performed under general anaesthetic. The '#' prefix signifies specific funding rules for facility costs.$225.00
- E196Entropion, other than Zeigler punctureSurgical repair of an entropion (inward-turning eyelid) using a method other than Zeigler puncture. This is a hospital-based procedure.$416.20
- E197Ectropion, other than Zeigler punctureSurgical repair of an ectropion (outward turning of the eyelid), utilizing methods other than Zeigler puncture.$424.20
- E192PtosisSurgical repair of ptosis, a condition characterized by the drooping of the upper eyelid. This is a hospital-based procedure.$578.30
- E193Ptosis - repeat or second repairSurgical repair of ptosis of the eyelid, performed as a repeat or second procedure.$670.40
- E194Distichiasis repair or trichiasis repair by tarsal transplantation - unilateralSurgical repair of distichiasis (an extra row of eyelashes) on a single eyelid. This procedure has associated fees for a surgical assistant and anaesthetist.$521.00
- E199Laceration, full thicknessSurgical repair of a full thickness laceration of the eyelid, not including the lid margin.$452.65
- E198Laceration, full thickness - including lid marginSurgical repair of a full-thickness laceration of the eyelid that includes the lid margin. This service is typically performed under general anaesthetic in a hospital setting and is eligible for anaesthesia fees.$573.15
- E200Excision of skin, with or without partial excision of the orbicularis oculi muscle - one lidexcision of skin, with or without partial excision of the orbicularis oculi muscle - one lid$82.80
- E218DacryocystorhinostomyA surgical procedure to create a new drainage pathway from the lacrimal sac to the nasal cavity, used to treat nasolacrimal duct obstruction. It includes surgeon, anaesthesia, and assistant components.$815.75
- E215DacryocystectomySurgical excision of the lacrimal sac. This procedure includes fees for the surgeon, surgical assistant, and anaesthesiologist.$496.00
- Z864Probing and dilation of duct, initial or repeat - General anaestheticProbing and dilation of the nasolacrimal duct under general anaesthetic. This service applies to unilateral or bilateral procedures and can be an initial or repeat intervention.$200.00
- Z865Probing and dilation of duct, initial or repeat - General anaesthetic - with insertion of inlying tube or filamentA surgical procedure involving the probing and dilation of the nasolacrimal duct under general anaesthesia, including the insertion of an inlying tube or filament.$250.00
- Z917Three “Snip” punctum procedureA surgical procedure involving three snips on a lacrimal punctum, billable for each punctum treated with a maximum of 4 per patient, per day.$65.70
- Z901Irrigation of nasolacrimal systemIrrigation of nasolacrimal system - per eye$27.00
Retina & vitreous
- E152Scleral resection or buckling procedureScleral resection or buckling procedure - with or without diathermy, photo-coagulation or cryopexy, primary or subsequent procedure$700.00
- E153Revision for retinal detachmentRevision for retinal detachment following unsuccessful operation or fresh detachment in the same eye with or without diathermy, photocoagulation or cryopexy$840.00
- E148Vitrectomy, complete and by posterior approach, with vitreous exchangeA surgical procedure for the removal of the vitreous humor from the eye using an infusion suction cutter technique.$810.00
- E142Preretinal membrane peeling or segmentationA surgical procedure for the eye involving the peeling or segmentation of a preretinal membrane, which includes posterior vitrectomy and coagulation as part of the service.$920.00
- E940Anterior vitrectomyAnterior vitrectomy by corneal or pars plana approach, when done in conjunction with another intraocular procedure$105.00
- E151Re-attachment of retina and choroid by diathermy, photocoagulation or cryopexy as an initial procedureSurgical repair for a detached retina and choroid, performed as the first procedure for this condition, using techniques such as diathermy, photocoagulation, or cryopexy.$282.65
- E161Removal of scleral implantA surgical procedure for the removal of a scleral implant, a device used in retinal detachment repair. This service is for the surgeon's fee; anaesthesia is billed separately.$250.00
Strabismus
- E185Horizontal or vertical rectus muscle repairSurgical procedure on a horizontal or vertical rectus muscle of the eye, typically for correcting strabismus. This fee is for each muscle operated on.$525.15
- E183Superior oblique muscle repairA surgical procedure for the repair of the superior oblique muscle to correct strabismus. This code is subject to a daily maximum when combined with other strabismus repair codes.$600.00
- E184Inferior oblique muscle repairSurgical repair of strabismus involving the inferior oblique muscle. This code is billable per muscle and is eligible for assistant and anaesthesia services.$543.65
- E182Transposition of extraocular muscle to treat paretic or lost, damaged eye muscleA surgical procedure involving the transposition of an extraocular muscle to correct for a paretic (weakened), lost, or damaged eye muscle, as part of a strabismus repair.$600.00
- E877Repeat strabismus procedureThis code represents a 30% premium added to the fee for a repeat strabismus procedure (<billingCode>E185</billingCode>, <billingCode>E184</billingCode>, <billingCode>E183</billingCode>, or <billingCode>E182</billingCode>).+30%
- E949Strabismus procedure - for adjustable suturePayable for the use of an adjustable suture technique, typically performed in conjunction with a primary strabismus surgery procedure such as `<billingCode>E185</billingCode>`.$180.00
Glaucoma surgery
- E130Iridectomy - surgical - when sole procedureSurgical removal of a portion of the iris, billable when it is the only procedure performed. This is a surgical procedure with fees for the surgeon, assistant, and anaesthetist.$308.30
- E984Glaucoma filtering procedure following previous procedureThis fee code is an add-on to <billingCode>E132</billingCode>, <billingCode>E114</billingCode>, or <billingCode>E115</billingCode> when performed following a previous glaucoma filtering procedure.$137.50
- E212Bleb repair with conjunctival pull-downA surgical procedure for the repair of a glaucoma filtering bleb utilizing a conjunctival pull-down method. Payment for assistant (B) and anaesthetist (C) services is based on a unit system.$210.00
- E213Bleb repair with conjunctival, scleral or mucous membrane graftSurgical repair of a glaucoma filtering bleb using a graft from the conjunctiva, sclera, or mucous membrane.$262.50
Orbit
- E102Enucleation, with or without primary implantSurgical removal of the eyeball (enucleation), which may or may not include the placement of a primary implant at the same time.$695.85
- E103Evisceration, with or without primary implantSurgical procedure for the evisceration of the eye's contents, with or without the insertion of a primary implant. This service cannot be billed with <billingCode>E109</billingCode>.$695.85
- E109Enucleation/evisceration with insertion of implant and reattachment of extraocular musclesSurgical removal of the eye (enucleation or evisceration) that includes the insertion of an orbital implant and reattachment of the extraocular muscles. This service is eligible for surgeon, assistant, and anaesthetist fees.$809.50
- E164Drainage of abscessA surgical procedure involving the incision and drainage of an abscess located in the orbit (the bony cavity containing the eye).$620.70
- E166Tumour or foreign body - anterior routeA surgical procedure for the excision of a tumour or foreign body from the orbit using an anterior approach, eligible for surgeon, assistant and anaesthesia fees.$780.70
- E168Biopsy (posterior exposure)Surgical biopsy of the orbit performed via a posterior exposure, eligible for surgeon (`suffix A`), anaesthetist (`suffix C`), and, with special authorization, assistant (`suffix B`) fees.$308.30
How to use this ophthalmology code set
This is a working list, not the whole Schedule. It carries the codes the Ontario Schedule of Benefits ties to ophthalmology (specialty 23) — its own consultation and assessment codes, in-patient visits, premiums and the diagnostics or procedures that make up most of a day — sectioned the way a shift sheet reads. Codes open to every specialty that a ophthalmology physician also bills (general assessments, forms, special visit premiums) live in the Family Practice and Special visit premiums sets.
Each code links to its full Schedule entry: fee history, restrictions, required diagnoses and the codes it can or cannot be billed with. Fees shown are the current provider or specialist fee; percentage premiums show the percentage they add to the base service.
Common questions
Which consultation or assessment code does ophthalmology bill?
The consultations & assessments — office section of this set starts with A235 (Ophthalmology Consultation). 13 codes are listed in that section.
What is in the Ophthalmology code set?
131 OHIP billing codes across 14 sections: Consultations & assessments — office; E-assessments; Hospital in-patient; Premiums; Office diagnostics; Contact lenses; Injections & laser; Cataract & lens; Cornea & conjunctiva; Eyelids & lacrimal; Retina & vitreous; Strabismus; Glaucoma surgery; Orbit. Eye consultations and assessments, office diagnostics, injections and laser, cataract, cornea, eyelid and lacrimal, retina, strabismus and glaucoma surgery.
Are these the current OHIP fees?
Fees are read from the current Ontario Schedule of Benefits for Physician Services and refreshed hourly. Claims are paid at the fee in force on the service date, so always confirm the effective date on the code page.
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