MSP Billing Codes

Specialty: Msp Billing Codes By Specialty

Category: Opthalmology

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Code	Description	Anes	Fee
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Clinical Examinations
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
22175	Collagen cross-linking for keratoconus-prof fee	0	$404.61
22176	Collagen cross-linking for keratoconus-tech fee	0	$505.77
Diagnostic Examinations
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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