What are the billing rules for E077A?

Only for patients aged 20 to 64 inclusive (A10). One every four fiscal years by the same physician for the same patient, unless the patient goes for the exam to someone other than the one the original requisition was given to (A10). One per fiscal year per patient by any physician (A10).

What is E077A often billed with?

E077 is listed as an add-on, claimed with the visit at which the need for a major eye exam is identified, such as A007 or A003 (A10).

Why is E077A rejected?

A2A: OHIP's description is 'patient is outside the age limit for this fee code'. E077 is only for patients aged 20 to 64 inclusive (A10); check the date of birth on the claim.

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Billing code

E077A — Request for Major Eye Examination

Q: What is OHIP billing code E077A?

Add-on for identifying a patient aged 20 to 64 who needs a major eye exam and completing the requisition. Max one per fiscal year by any physician.

Eye exam requisition

Add when you find a patient aged 20 to 64 needs a major eye exam for a medical condition and give them a completed requisition.

Watch for: Only for ages 20 to 64, and only one per patient per fiscal year by any physician.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$10.25	$0.00	$0.00	$0.00	$0.00

Code: E077A
Description: Request for Major Eye Examination
FHO+ basket: Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date: Apr 1, 2025
Termination date: No end date

Explanation

Updated October 26, 2026

Add-on for identifying a patient aged 20 to 64 who needs a major eye exam and completing the requisition. Max one per fiscal year by any physician.

What it covers

E077 is the service of determining that a patient aged 20 to 64 inclusive has a medical condition that needs a major eye examination, and giving the patient a completed requisition (A10).

It is for conditions other than diabetes mellitus, glaucoma, cataract, retinal disease, amblyopia, visual field defects, corneal disease, strabismus, recurrent uveitis or optic pathway disease. Patients with those conditions are already eligible for a major eye exam (A115) without a requisition (A10, A11).

Billing rules

Only for patients aged 20 to 64 inclusive (A10).
One every four fiscal years by the same physician for the same patient, unless the patient goes for the exam to someone other than the one the original requisition was given to (A10).
One per fiscal year per patient by any physician (A10).
The requisition stops being valid after March 31 of the fifth year following the year it was completed (A11).

Often billed with

E077 is listed as an add-on, claimed with the visit at which the need for a major eye exam is identified, such as A007 or A003 (A10).

Common rejections

A2A: OHIP's description is 'patient is outside the age limit for this fee code'. E077 is only for patients aged 20 to 64 inclusive (A10); check the date of birth on the claim.

Related codes: A115, A110, A112, A007, A003

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), Identification of patient for a major eye examination, page A10; major eye examination notes on page A11

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