OHIP Billing Codes

Specialty: Ophthalmology 23

Code Description Fee
A115 Major eye examination $52.15
A230 Orthoptic assessment $25.50
A231 Neuroophthalmology consultation $122.40
A233 Specific assessment $58.85
A234 Partial assessment $29.55
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

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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