OHIP Billing Codes

Specialty: Ophthalmology 23

Code	Description	Fee
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A115	Major eye examination	$52.15
A230	Orthoptic assessment	$25.50
A231	Neuroophthalmology consultation	$122.40
A233	Specific assessment	$58.85
	E423 manual cycloplegic refraction, to A233 or A234 add	$25.50
A234	Partial assessment	$29.55
	E423 manual cycloplegic refraction, to A233 or A234 add	$25.50
A235	Consultation	$83.85
A236	Repeat consultation	$46.75
A237	Periodic oculovisual assessment aged 19 years and below	$57.75
A239	Periodic oculovisual assessment aged 65 years and above	$57.75
A250	Retinopathy of prematurity (ROP) assessment	$122.40
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A251	Special ophthalmologic assessment	$122.40
A252	Initial vision rehabilitation assessment	$244.80
A253	Optometristrequested assessment (ORA)	$83.85
A254	Followup vision rehabilitation assessment	$122.40
A256	Special optometristrequested assessment	$147.65
A935	Special surgical consultation (see General Preamble GP19)	$163.20
C121	Additional visits due to intercurrent illness (see General Preamble GP43) per visit	$31.60
C122	Subsequent visits by the Most Responsible Physician (MRP) day following the hospital admission assessment	$62.40
C123	Subsequent visits by the Most Responsible Physician (MRP) second day following the hospital assessment	$62.40
C124	Subsequent visits by the Most Responsible Physician (MRP) day of discharge	$62.40
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	$62.40
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	$62.40
C231	NeuroOphthalmology Consultation subject to the same conditions as A231	$122.40
C232	Subsequent visits first five weeks per visit	$31.60
C233	Specific assessment	$58.85
C234	Specific reassessment	$29.95
C235	Consultation	$83.85
C236	Repeat consultation	$46.75
C237	Subsequent visits sixth to thirteenth week inclusive (maximum 3 per patient per week) per visit	$31.60
C238	Concurrent care per visit	$31.60
C239	Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit	$31.60
C250	Retinopathy of prematurity assessment subject to the same conditions as A250	$122.40
C935	Special surgical consultation (see General Preamble GP19)	$163.20
C982	Palliative care (see General Preamble GP50) per visit	$31.60
U231	Minor eassessment	$15.30
U233	Repeat eassessment	$44.15
U235	Initial eassessment	$46.75
U236	Followup eassessment	$29.55
W231	NeuroOphthalmology Consultation subject to the same conditions as A231	$122.40
W535	Consultation	$83.85
W536	Repeat consultation	$46.75

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