G823OCT unilateral or bilateral - evaluation of an infant/child/ adolescent with retinal disease and/or glaucoma (including genetic retinal anomalies and cancer), or low vision associated with or resulting in developmental delay when the physician interprets the results and either performs the procedure or supervises the performance of the procedure on a patient younger than 18 years of age
DIAGNOSTIC AND THERAPEUTIC PROCEDURES · OPHTHALMOLOGY
$35.00G823 identifies the Ontario insured service described as “OCT unilateral or bilateral - evaluation of an infant/child/ adolescent with retinal disease and/or glaucoma (including genetic retinal anomalies and cancer), or low vision associated with or resulting in developmental delay when the physician interprets the results and either performs the procedure or supervises the performance of the procedure on a patient younger than 18 years of age.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- 1. G823 is limited to a maximum of 12 services per 12 month period.
Billing detail
Frequency limit recorded in the structured source: 12 service(s) per 12 month(s).
Before using this code
Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.