Billing code
A230A — Orthoptic Assessment
Orthoptic eye assessment
An ophthalmologist bills A230 for an orthoptic assessment of all cardinal gaze positions plus binocular sensory testing, in addition to a visit.
Watch for: All tests must be done and interpreted personally and documented; if a certified orthoptist did the exam, bill G814 instead.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $26.20 | $0.00 | $0.00 | $0.00 |
- Code
- A230A
- Description
- Orthoptic Assessment
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2026
- Termination date
- No end date
Explanation
Updated October 26, 2026
Orthoptic assessment done and interpreted personally by the ophthalmologist: all cardinal gaze positions plus binocular sensory testing.
What it covers
An orthoptic assessment must include quantitative measurement of all cardinal positions of gaze (straight ahead, left, right, up, down, tilt right and tilt left), and sensory testing for binocular vision suppression, cyclodeviation and retinal correspondence (A156).
It is payable in addition to an ophthalmology consultation or visit (A156).
Billing rules
- All the tests must be rendered and interpreted personally by the physician (A156).
- Results and measurements must be documented in the permanent medical record (A156).
- Payable in addition to an ophthalmology consultation or visit (A156).
- If a certified orthoptist performs the exam, bill G814 instead (A156, J94).
- Not listed in Appendix J, so not payable as a virtual service (AJ1–AJ2).
Often billed with
- A235 consultation, or A233/A234 assessments (A156).
Related codes: G814, A235, A233, A234, E423, E424
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Ophthalmology (23), page A156.
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