MSP Billing Codes
Specialty: Opthalmology
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Code | Description | Anes | Fee |
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Clinical Examinations |
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02018 | Biomicroscopy | 0 | $31.95 |
02010 | Consultation - ophthalmology | 0 | $99.26 |
02005 | Emergency visit - ophthalmology | 0 | $89.84 |
02028 | Examination for low visual aid | 0 | $49.50 |
02048 | Exophthalmometry | 0 | $13.45 |
02015 | Eye examination (refraction, opthalmoscopy etc...) | 0 | $50.86 |
02009 | Home visit - ophthalmology | 0 | $60.27 |
02008 | Hospital visit - ophthalmology | 0 | $48.72 |
02038 | Keratometry | 0 | $15.63 |
02011 | Limited consultation - ophthalmology | 0 | $48.83 |
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02017 | Oculo-motor function test | 0 | $34.51 |
02007 | Office visit - ophthalmology | 0 | $36.14 |
02020 | Ophthalmodynamometry | 0 | $28.61 |
02014 | Orthoptic evaluation | 0 | $60.87 |
22016 | Pachymetry-extra(when billed with other eye exams) | 0 | $10.21 |
02040 | Retinoscopy, keratometry, tonometry, indirect fundoscopy, fundus photography and prosthetic fitting under general anesthetic | 3 | $133.06 |
02012 | Special consultation - ophthalmology | 0 | $135.53 |
22010 | Telehealth consultation - ophthalmology | 0 | $99.26 |
22011 | Telehealth repeat or lmtd consult - ophthalmology | 0 | $48.83 |
22008 | Telehealth subseqnt hospital visit - ophthalmology | 0 | $48.72 |
22007 | Telehealth subsequent office visit - ophthalmology | 0 | $36.14 |
02019 | Tonometry | 0 | $31.95 |
Cornea and Sclera |
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22175 | Collagen cross-linking for keratoconus-prof fee | 0 | $404.61 |
22176 | Collagen cross-linking for keratoconus-tech fee | 0 | $505.77 |
Diagnostic Examinations |
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00771 | Retinal examination under anaesthesia | 3 | $20.08 |
22051 | Specular microscopy-professional fee | 0 | $20.39 |
22052 | Specular microscopy-technical fee | 0 | $57.74 |
22050 | Specular microscopy-total fee | 0 | $78.13 |
Fitting of Contact Lenses |
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22059 | Contact lens - keratoconus - unilateral | 0 | $266.12 |
02058 | Contact lens bandage - aphakia - unilateral | 0 | $266.12 |
22056 | Contact lens bandage - unilateral | 0 | $79.83 |
Laboratory / Diagnostic Examinations |
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22023 | 10 or 24 hour tension curve - diurnal | 0 | $35.27 |
22047 | Anterior segment gonioscopy | 2 | $15.01 |
02035 | Color vision assessment | 0 | $41.04 |
02036 | Colour vision assessment (professional) | 0 | $26.91 |
02037 | Colour vision assessment (technical) | 0 | $14.14 |
02043 | Comprehensive quantitative perimetry examination | 0 | $63.32 |
22075 | Computerized corneal topography | 0 | $58.70 |
22076 | Computerized corneal topography - professional fee | 0 | $15.92 |
22077 | Computerized corneal topography - technical fee | 0 | $42.78 |
22067 | Computerized retinal nerve fibre layer photography | 0 | $55.54 |
02047 | Dacryocystogram | 0 | $62.57 |
02034 | Dark adaptation, per eye | 0 | $21.39 |
02031 | Electro -retinogram - professional fee | 0 | $34.98 |
02032 | Electro- retinogram - technical fee | 0 | $59.20 |
02044 | Electro-oculogram | 0 | $76.33 |
02045 | Electro-oculogram - professional fee | 0 | $26.91 |
02030 | Electro-retinogram | 0 | $94.19 |
02026 | Fluorescein angiography of retina - prof fee | 0 | $26.90 |
02027 | Fluorescein angiography of retina - tech fee | 0 | $80.07 |
02025 | Fluorescein angiography of retina with interpret. | 0 | $106.96 |
02039 | Fundus photography | 0 | $13.40 |
02067 | Manual retinal nerve fibre layer photography | 0 | $65.18 |
22046 | Posterior segment contact lens exam | 2 | $11.20 |
02049 | Potentiometry | 0 | $31.31 |
22068 | Professional fee -computerized retinal nerve fibre | 0 | $12.52 |
02042 | Quantitative perimetry examination | 0 | $45.70 |
02068 | Ret nerve fibre and neuro-retinal assess. - prof | 0 | $12.52 |
02069 | Ret nerve fibre and neuro-retinal assess. - tech | 0 | $52.65 |
22069 | Technical fee - computerized retinal nerve fibre | 0 | $43.02 |
02041 | Visual field examination (limited) | 0 | $32.59 |
Retinal Procedures |
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02182 | - non-magnetic extraction - isolated procedure | 4 | $750.18 |
22197 | Additional gas (c3f8 or sf6) or air injection | 5 | $99.69 |
02091 | Anterior chamber paracentesis | 4 | $134.23 |
02198 | Anterior vitrectomy | 4 | $349.55 |
22195 | Buckle material or sponge - removal | 5 | $173.65 |
02194 | Buckling procedure | 5 | $807.76 |
02195 | Cryopexy or diathermy for retinal tear or other retinal disorder | 5 | $226.99 |
22199 | Fluid/gas exchange and silicone injection if required with posterior vitrectomy | 5 | $67.23 |
02181 | Foreign body intraocular - magnetic extraction - isolated procedure | 4 | $620.22 |
22202 | Intra ocular lens removal/lensectomy when done with a posterior vitrectomy | 5 | $56.01 |
02092 | Intravitreal biopsy (microbiology, cytology) or intraocular tumour needle biopsy | 4 | $215.18 |
02090 | Intravitreal injection of vitreous paracentesis | 4 | $134.43 |
22200 | Panretinal endolaser greater than 200 burns when done with a posterior vitrectomy | 5 | $207.26 |
22196 | Pneumatic retinopexy with air/gas - isolated proc. | 5 | $387.65 |
02199 | Posterior vitrectomy with 2 or 3 port infusion cutting device. includes membrane peel and/or dissection | 5 | $910.84 |
22203 | Removal of intra-ocular foreign body at the time of posterior vitrectomy | 5 | $224.07 |
22198 | Repair of scleral laceration and cryopexy and/or gas injection with scleral buckle isolated procedure | 5 | $981.42 |
22201 | Scleral buckle done with posterior vitrectomy | 5 | $56.01 |
Surgical Fees - Cataract / Lens |
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22191 | Cataract - capsulotomy (needling or discission) - isolated procedure | 0 | $208.26 |
02188 | Cataract linear extraction, congenital, traumatic | 0 | $279.16 |
22188 | Pediatric cataract extraction-ages 0-7 years | 0 | $1,122.62 |
22189 | Pediatric cataract extraction-ages 8-16 years | 0 | $748.41 |
02190 | Primary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period - extra | 0 | $73.47 |
02192 | Secondary intraocular lens implantation to include repositioning of lens within the 42 day post-operative period | 0 | $481.75 |
02196 | Surgical repositioning of implant lens | 0 | $225.87 |
Surgical Fees - Cornea and Sclera |
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02167 | Cautery or cryotherapy of corneal ulcer | 3 | $31.83 |
22172 | Complicated pterygium excision (re-operation) or cancer excision, with mucous membrane graft | 4 | $604.99 |
02172 | Gunderson-type flap | 3 | $294.05 |
02168 | Keratoplasty - complicated re-operation | 4 | $956.76 |
02173 | Keratoplasty - lamellar | 3 | $850.60 |
02175 | Keratoplasty - penetrating | 4 | $851.47 |
22171 | Pterygium excision with mucous membrane graft | 4 | $420.13 |
02171 | Pterygium or limbus tumour excision | 3 | $126.95 |
02169 | Suture of cornea/sclera (complicated) | 4 | $701.33 |
02174 | Suture of cornea/sclera (simple) | 4 | $309.98 |
22169 | Suture removal at slit lamp following keratoplasty | 4 | $22.15 |
Surgical Fees - Eye Muscles |
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22166 | Adjustable suture fee - extra to strabismus | 0 | $176.44 |
22167 | Prism adaptation and/or amblyopia therapy | 0 | $138.39 |
02161 | Strabismus (1 or 2 muscles) | 3 | $374.20 |
02162 | Strabismus (3 or more muscles) | 3 | $529.31 |
22165 | Strabismus (5 or more muscles) | 4 | $764.54 |
02163 | Strabismus (complicated re-operation) | 4 | $588.12 |
Surgical Fees - Eyelids |
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02150 | Chalazion removal | 3 | $78.90 |
02148 | Cryotherapy of eyelids for trichiasis or tumour | 3 | $117.64 |
02154 | Ectropion/entropian - complicated | 3 | $334.98 |
02153 | Ectropion/entropian - ziegler or simple procedure | 3 | $56.35 |
02156 | Excision of tumour of eyelid margin or conjunctiva benign (operation only) | 3 | $88.57 |
02157 | Eyelid tumour - benign - excision | 3 | $38.32 |
02158 | Fasanella-servat procedure | 3 | $265.00 |
02100 | Graded muellerectomy with levator recession under local anesthesiology | 3 | $470.48 |
02166 | Lid elevation & scleral graft | 3 | $470.48 |
02104 | Major lid reconstruction (one or two stage) | 3 | $882.17 |
02149 | Meibomian gland evacuation | 0 | $22.36 |
02106 | Microscopic repair of trichiasis including muscular graft or mucosal membrane graft | 3 | $582.57 |
02103 | Minor lid repair (operation only) | 3 | $88.57 |
02159 | Ptosis repair - frontalis sling using autologous material | 3 | $547.30 |
02155 | Ptosis repair - frontalis sling using synthetic material | 3 | $294.05 |
02160 | Ptosis repair (levator resection) | 3 | $537.77 |
02107 | Repair of eyelid margin defect, requiring layered closure | 3 | $352.88 |
02152 | Tarsorrhaphy | 3 | $116.92 |
02147 | Trichiasis - electric | 3 | $64.38 |
02146 | Trichiasis - epilation (forceps) | 3 | $22.36 |
02105 | Two-stage reconstruction with micrographic tumour excision | 3 | $1,470.29 |
Surgical Fees - Glaucoma / Iris / Anterior Chamber |
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22187 | Glaucoma - complicated trabeculectomy | 4 | $939.34 |
22185 | Glaucoma - cycloablative procedures | 4 | $309.98 |
02184 | Glaucoma - cyclodialysis | 4 | $334.98 |
02187 | Glaucoma - filtering procedure, microscopic | 4 | $644.24 |
02178 | Glaucoma - filtering procedure, non-microscopic | 4 | $598.26 |
02180 | Glaucoma - goniotomy | 4 | $543.84 |
02183 | Glaucoma - goniotomy repeat within 3 months | 4 | $225.87 |
02177 | Glaucoma - peripheral iridectomy(isolated proced.) | 4 | $345.26 |
02189 | Iridocyclectomy via scleral flap dissection | 4 | $631.00 |
22070 | Molteno implant (includes phase 1 and phase 2) | 5 | $1,072.16 |
02176 | Sclerotomy - posterior with or without insufflation of gas - isolated procedure | 4 | $131.46 |
02197 | Surgical evacuation of a hyphema | 4 | $518.72 |
Surgical Fees - Lacrimal Apparatus |
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02112 | Dacryocystectomy (complex) | 4 | $1,058.61 |
02126 | Dacryocystorhinostomy | 3 | $560.17 |
02119 | Dacryocystostomy (la) | 3 | $35.29 |
02122 | Duct probing - under local anesthesia (operation only) | 3 | $25.54 |
22121 | Duct probing under ga - unilateral or bilateral | 3 | $176.44 |
02129 | Insertion of lester jones tube | 3 | $423.43 |
02123 | Insertion of quickert tube | 3 | $206.18 |
02111 | Lacrimal gland micro-dissection | 6 | $1,119.48 |
02120 | Punctum dilation and syringing sac | 3 | $25.54 |
02127 | Repair of canaliculi | 3 | $494.00 |
02118 | Two or three snip procedure | 3 | $47.95 |
Surgical Fees - Laser Procedures |
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22115 | Capsulotomy - yag laser, per eye | 4 | $106.44 |
02072 | Laser interferometry | 4 | $32.49 |
22113 | Laser iridotomy per eye | 4 | $117.64 |
22114 | Laser trabeculoplasty per eye | 4 | $128.40 |
02116 | Panretinal photocoagulation - > 700 burns max. | 4 | $524.72 |
22125 | Photodynamic thrpy for age-rltd wet macular degene - professional fee | 0 | $279.77 |
22118 | Post-laser follow-up | 0 | $33.20 |
22116 | Retinal photocoagulation - left | 4 | $128.40 |
22117 | Retinal photocoagulation - right | 4 | $128.40 |
00094 | Yag laser tray service fee | 0 | $65.66 |
Surgical Fees - Orbit |
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02144 | Aspiration needle biopsy of orbit under scan | 3 | $135.62 |
22136 | Biopsy or excision of anterior orbital tumour | 4 | $352.88 |
02133 | Enucleation or evisceration | 4 | $529.70 |
02134 | Orbit - enucleation with complicated implant | 4 | $776.31 |
02135 | Orbit - exenteration of | 4 | $1,008.31 |
22142 | Orbital decompression - (2 wall) | 6 | $980.91 |
22141 | Orbital decompression - (1 wall) | 6 | $635.16 |
22143 | Orbital decompression - (3 wall) | 6 | $1,411.49 |
02145 | Orbital exenteration with en bloc resection of bony orbital walls - ophthalmologist | 7 | $1,679.65 |
22140 | Orbital exploration (posterior route) - to biopsy posterior orbital tumour or to fenestrate optic nerve sheath | 6 | $1,129.17 |
02101 | Orbitotomy - posterior, microdissection | 7 | $1,764.34 |
22138 | Posterior orbitotomy for removal of posterior orbital tumour not involving the orbital apex or optic nerve | 6 | $1,411.49 |
02132 | Retrobulbar injection | 2 | $90.93 |
Surgical Fees - Special Therapy |
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02108 | Beta radiation | 0 | $20.74 |
02073 | Botulinum toxin injection for blepharospasm | 0 | $136.66 |
02075 | Botulinum toxin injection for entropion | 0 | $74.69 |
02076 | Botulinum toxin injection for strabismus | 0 | $207.99 |
02110 | Radioactive plaque | 5 | $1,002.34 |
02109 | Subconjunctival injection | 0 | $22.36 |
Ultrasoun and Axial Measurement Examinations |
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22399 | Ophthalmic a-scan to determine axial length | 0 | $64.34 |
25007 | Ophthalmic a-scan to determine axial length | 0 | $36.97 |
25010 | Ophthalmic a-scan to determine axial length | 0 | $77.84 |
25012 | Ophthalmic a-scan to determine axial length | 0 | $45.81 |
25013 | Ophthalmic a-scan to determine axial length | 0 | $108.85 |
The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.
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