Chapter 4 / Eye and orbital contents

The benefit for cataract removal by the various approaches includes subconjunctival injection and injection into the anterior chamber where required. These should not be charged separately.

When it is necessary to convert a phakoemulsification into an extra capsular extraction this should be charged as a single procedure.

Retrobulbar injection. This code is for therapeutic retrobulbar injection. It is not for anaesthesia during cataract surgery.

Removal of sutures. This code is for use after keratoplasty only.

We do not cover blepharoplasty and this should not ever be coded as correction of ptosis/eyelid reconstruction.


4.1 - Globe and orbit

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C0110 Exenteration of orbit Major £550.00 £275.00 Show arrow
C0120 Enucleation/evisceration of eyeball Major £550.00 £220.00 Show arrow
C0122 Enucleation/evisceration of eyeball (with implant) Major £550.00 £220.00 Show arrow
C0212 Excision of lesion of orbit - anterior approach Major £550.00 £220.00 Show arrow
C0213 Excision of lesion of orbit - lateral orbitomy Major £550.00 £220.00 Show arrow
C0512 Simple reconstruction of socket (not including implant or graft) Major £650.00 £275.00 Show arrow
C0513 Reconstruction of socket with either implant or graft Complex £650.00 £275.00 Show arrow
C0514 Reconstruction of socket with implant and graft Complex £650.00 £275.00 Show arrow
C0610 Biopsy of lesion of orbit Intermediate £350.00 £165.00 Show arrow
C0620 Drainage of orbit Intermediate £400.00 £165.00 Show arrow
C0630 Decompression of orbit Major £800.00 £220.00 Show arrow
C0640 Removal of foreign body from orbit Major £550.00 £220.00 Show arrow
C0650 Exploration of orbit (as sole procedure) Major £550.00 £220.00 Show arrow
C0840 Orbital injection Minor £100.00 £0.00 Show arrow

4.2 - Eyebrow and lid

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C1010 Excision of lesion of eyebrow Minor £200.00 £165.00 Show arrow
C1040 Suture of eyebrow Minor £100.00 £100.00 Show arrow
C1110* Excision of lesion of canthus Intermediate £300.00 £165.00 Show arrow
C1130 Correction of epicanthus Intermediate £350.00 £165.00 Show arrow
C1140 Correction of telecanthus Intermediate £350.00 £165.00 Show arrow
C1150 Graft of skin to canthus Intermediate £300.00 £165.00 Show arrow
C1160 Canthotomy Minor £200.00 £165.00 Show arrow
C1210 Excision of lesion of eyelid Minor £100.00 £150.00 Show arrow
C1230 Curettage/cryotherapy of lesion of eyelid Minor £100.00 £150.00 Show arrow
C1420* Graft of skin to eyelid Intermediate £300.00 £165.00 Show arrow
C1512* Correction of lower lid ectropion without graft/flap Intermediate £350.00 £165.00 Show arrow
C1513* Correction of lower lid ectropion with graft/flap Intermediate £350.00 £165.00 Show arrow
C1522* Correction of entropion - lower lid Intermediate £350.00 £165.00 Show arrow
C1818 Reverse ptosis repair of eyelid Major £500.00 £220.00 Show arrow
C1523* Correction of entropion - upper lid, including graft/flap Intermediate £350.00 £165.00 Show arrow
C1532* Correction of trichiasis by electrolysis/diathermy/cryotherapy/laser Minor £150.00 £150.00 Show arrow
C1540 Surgical correction of trichiasis/upper lid entropion, including graft/flap Minor £150.00 £150.00 Show arrow
C1640 Tarsorrhaphy Intermediate £250.00 £165.00 Show arrow
C1700 Total reconstruction of eyelid - unilateral Major £550.00 £165.00 Show arrow
C1710 Suture of eyelid (laceration) (as sole procedure) Minor £150.00 £150.00 Show arrow
C1810 Correction of ptosis of eyelid - simple, including tarsomullerectomy Major £500.00 £220.00 Show arrow
C1812 Correction of ptosis of eyelid - complex Major £500.00 £220.00 Show arrow
C1813 Correction of ptosis of eyelid with autologous fascia lata Major £500.00 £220.00 Show arrow
C2220* Biopsy of lesion of eyelid Minor £150.00 £110.00 Show arrow

4.3 - Lacrimal system

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C2540 Dacryocystorhinostomy (including insertion and later removal of tube) Major £550.00 £275.00 Show arrow
C2542 Dacryocysto-rhinostomy (endoscopic/laser assisted), including insertion and later removal of tube Xmajor £550.00 £275.00 Show arrow
C2550* Lacrimal intubation (as sole procedure) Intermediate £100.00 £100.00 Show arrow
C2610 Excision/biopsy of lacrimal sac Intermediate £300.00 £165.00 Show arrow
C2640 Incision of lacrimal sac Minor £100.00 £165.00 Show arrow
C2650 Probing of nasolacrimal system with/without syringing and/or irrigation Minor £100.00 £100.00 Show arrow
C2910* Puncto-canaliculoplasty Minor £300.00 £110.00 Show arrow
C2920* Insertion of canalicular or punctal plugs Minor £100.00 £75.00

4.4 - Muscles

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C3112 Surgical correction of squint - unilateral Major £550.00 £220.00 Show arrow
C3113 Surgical correction of squint - bilateral Major £550.00 £220.00 Show arrow
C3180 Revision of squint surgery Xmajor £650.00 £220.00 Show arrow
C3530 Surgical correction of squint with adjustable sutures Xmajor £700.00 £220.00 Show arrow
C3780 Injection of botulinum toxin into extraocular or periocular muscles Intermediate £300.00 £0.00

4.5 - Conjuctiva

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C3910 Excision/biopsy of conjunctival lesion Minor £150.00 £150.00 Show arrow
C3920 Cauterisation including cryotherapy to conjunctival lesion Minor £100.00 £150.00 Show arrow
C6180 Bleb needling +/- antimetabolites (including topical or local anaesthetic) £100.00 £0.00 Show arrow
C3950 Radiotherapy to conjunctival lesion Minor £200.00 £165.00 Show arrow
C4010 Mucosal graft to conjunctiva Intermediate £350.00 £165.00 Show arrow
C4050 Suture of conjunctiva Minor £150.00 £150.00 Show arrow
C4100 Drainage of conjunctival cyst Minor £100.00 £150.00 Show arrow
C4340 Subconjunctival injection Minor £100.00 £0.00 Show arrow
C4350 Exploration of conjunctiva (including removal of foreign body) Minor £100.00 £150.00 Show arrow

4.6 - Cornea

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C3960 Excision of pterygium Minor £150.00 £150.00 Show arrow
C4520 Excision of lesion of cornea Minor £150.00 £150.00 Show arrow
C4620 Lamellar graft (keratoplasty) to cornea Xmajor £650.00 £275.00 Show arrow
C4630 Perforating graft (keratoplasty) to cornea Xmajor £650.00 £275.00 Show arrow
C4640 Descemets stripping endothelial keratoplasty (DSEK) Xmajor £650.00 £275.00 Show arrow
C4650 Revision of corneal graft/wound Major £500.00 £220.00 Show arrow
C4690* Implantation of synthetic corneal rings for keratoconus (including INTACS) Intermediate £350.00 £220.00 Show arrow
C4710 Repair of corneal wound Minor £200.00 £165.00 Show arrow
C4730 Removal of corneal suture Minor £100.00 £150.00 Show arrow
C4810 Removal of superficial corneal foreign body Minor £150.00 £150.00 Show arrow
C4980 Tension sutures Intermediate £400.00 £220.00 Show arrow
C5180 Corneal scraping for culture Minor £150.00 £150.00 Show arrow

4.7 - Sclera

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C5300 Excision of lesion of sclera Intermediate £200.00 £200.00 Show arrow
C5720 Repair of scleral laceration Intermediate £200.00 £200.00 Show arrow
C5730 Scleral graft Major £450.00 £220.00 Show arrow
C6181 Laser suture lysis (including topical or local anaesthetic) £100.00 £0.00

4.8 - Iris and anterior chamber

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C5910 Iridocyclectomy Xmajor £650.00 £275.00 Show arrow
C5920 Surgical iridectomy Intermediate £350.00 £220.00 Show arrow
C6010 Surgical trabeculectomy or other penetrating glaucoma procedures (including topical or local anaesthetic) Major £550.00 £275.00 Show arrow
C6110 Laser trabeculoplasty (including topical or local anaesthetic) – bilateral Intermediate £300.00 £220.00 Show arrow
C6111 Laser trabeculoplasty (including topical or local anaesthetic) - unilateral Intermediate £250.00 £150.00 Show arrow
C6720 Laser treatment for glaucoma e.g. Cyclodiode Intermediate £350.00 £0.00
C6120 Trabecular stent bypass microsurgery for open-angle glaucoma (including topical or local anaesthetic) Major £500.00 £250.00 Show arrow
C6130 Goniotomy (surgical treatment of glaucoma) (including topical or local anaesthetic) Major £550.00 £220.00 Show arrow
C6150 Revision of previous glaucoma surgery (including topical local anaesthetic) Major £550.00 £220.00 Show arrow
C6160 Complex glaucoma surgery (including anti-metabolites/insertion of seton devices) (including topical or local anaesthetic) Major £550.00 £220.00 Show arrow
C6170 Goniosynechialysis or goniopuncture (with laser or operatively) (including topical or local anaesthetic) Intermediate £350.00 £165.00 Show arrow
C6230* Laser iridotomy Intermediate £350.00 £0.00 Show arrow
C6410 Repair of prolapsed iris Major £550.00 £220.00 Show arrow
C6420 Excision of lesion of iris Major £550.00 £220.00 Show arrow
C6450 Removal of foreign body from iris Major £550.00 £220.00 Show arrow
C6610* Ciliary body ablation Intermediate £350.00 £165.00 Show arrow
C6710 Cyclodialysis (separation of ciliary body) Major £500.00 £220.00 Show arrow
C6910 Reformation of anterior chamber Major £450.00 £220.00 Show arrow
C6920* Paracentesis Intermediate £300.00 £165.00 Show arrow
C6930 Injection into anterior chamber (including topical or local anaesthetic) Minor £150.00 £0.00 Show arrow
C6940 Irrigation/aspiration of anterior chamber Minor £150.00 £150.00 Show arrow
C6980* Removal of foreign body from anterior chamber Intermediate £350.00 £165.00 Show arrow
C6990 Insertion of valve into anterior chamber of eye Major £500.00 £220.00 Show arrow

4.9 - Lens

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C7100 Extracapsular cataract extraction without implant - bilateral Xmajor £700.00 £440.00 Show arrow
C7110 Extracapsular cataract extraction without implant - unilateral Major £350.00 £220.00 Show arrow
C7122 Ultrasound phacoemulsification of cataract, with lens implant - unilateral (including topical or local anaesthetic) Intermediate £600.00 £220.00 Show arrow
C7123 Phacoemulsification of cataract, without lens implant - unilateral (including topical or local anaesthetic) Intermediate £600.00 £220.00 Show arrow
C7124 Phacoemulsification of cataracts, without lens implant - bilateral (including topical or local anaesthetic) Major £700.00 £440.00 Show arrow
C7125 Ultrasound phacoemulsification of cataracts, with lens implant - bilateral (including topical or local anaesthetic) Major £700.00 £440.00 Show arrow
C7341 Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) - bilateral Intermediate £300.00 £240.00
C7525 Repositioning of lens implant Minor £100.00 £0.00
C7180 Extracapsular cataract extraction with implant - unilateral Intermediate £350.00 £220.00 Show arrow
C7190 Extracapsular cataract extraction with implant - bilateral Xmajor £750.00 £440.00 Show arrow
C7340 Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) - unilateral Minor £200.00 £165.00 Show arrow
C7510 Secondary insertion of lens implant Major £350.00 £220.00 Show arrow
C7520 Lens implant/exchange Major £350.00 £220.00 Show arrow
C7530 Removal of lens implant Intermediate £200.00 £200.00 Show arrow

4.10 - Vitreous

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C7910 Anterior vitrectomy Major £500.00 £275.00 Show arrow
C7920* Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy without dissection or excision of epiretinal membrane/macular surgery Xmajor £650.00 £440.00 Show arrow
C7922 Pars plana vitrectomy/vitreous biopsy Major £550.00 £440.00 Show arrow
C7923 Intravitreal injection of pharmaceutical for neovascular age related macular degeneration Minor £350.00 £0.00 Show arrow
C7924 Intravitreal injection of pharmaceutical for central retinal vein occlusion Minor £350.00 £0.00 Show arrow
C7982 Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy with dissection or excision of epiretinal membrane/macular surgery Complex £1,300.00 £660.00 Show arrow
C7940 Intravitreal injection of pharmaceutical agent (not elsewhere classified) Minor £350.00 £0.00 Show arrow

4.11 - Retina

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C5432 Conventional retinal surgery (may include scleral buckling, injection of gas, drainage and retinopexy) Xmajor £600.00 £275.00 Show arrow
C5480* Removal of silicone oil Intermediate £250.00 £165.00 Show arrow
C8200* Laser photocoagulation/cryotherapy of lesion of retina Intermediate £300.00 £165.00 Show arrow
C8240* Photodynamic therapy to the retina (PDT) Intermediate £200.00 £165.00 Show arrow
C8440 Retinal examination under anaesthetic including retinopexy if necessary Minor £150.00 £110.00 Show arrow

4.12 - General

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



C8650 Fluorescein angiography of eye (including ocular photography) Minor £100.00 £100.00 Show arrow
C8652 Fundus or anterior segment ocular photography (as sole procedure) Minor £100.00 £0.00 Show arrow
C8654 Insertion of radioactive plaque into eye (including later removal) Major £500.00 £220.00



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