Billing code
E104A — Removal Of Intraocular Foreign Body
Eye foreign body removal
Bill for surgically removing a foreign body from inside the eye.
Watch for: Non-magnetic removal from the back of the eye is E105; the pre-operative decision visit is billed separately.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $542.00 | $0.00 | $77.46 | $95.76 | $95.76 |
- Code
- E104A
- Description
- Removal Of Intraocular Foreign Body
- 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
Removal of an intraocular foreign body, an ocular operation with assistant and anaesthesia units. Non-magnetic posterior-segment removal is E105.
What it covers
E104 is removal of an intraocular foreign body, listed under Eyeball in Ocular Surgical Procedures (Y1). Removal of a non-magnetic foreign body from the posterior segment is listed separately as E105, and repair of a penetrating wound as E106 (with prolapse of intraocular tissue) or E107 (without) (Y1).
It is a # procedure: the fee does not include the operating room premises, equipment and staff (SP1). The surgeon bills suffix A, the assistant B and the anaesthesiologist C; the assistant's fee is 6 basic units and the anaesthesia fee 6 basic units, plus time units (Y1, SP5, GP85-GP86, GP92-GP93).
Billing rules
- The major pre-operative visit, where the decision to operate is made, is not included in the surgical fee and is billed separately (SP2, GP4).
- When more than one procedure is done by the same surgeon under the same anaesthetic, the major procedure is paid in full and the others at 85% unless the Schedule says otherwise; this also applies to a second procedure for the same condition within 14 days in the same hospital stay (SP2).
- A non-elective case on a special visit starting 17:00-07:00 or on a weekend or holiday can add a special visit premium and E409 (evenings/weekends/holidays) or E410 (nights) (SP2, GP103-GP104).
- Age premiums apply for patients under 16, to both the surgical fee and the assistant's units (GP64).
Often billed with
- An assessment such as A007, or a consultation, at the major pre-operative visit (SP2, GP4).
Related codes: E105, E106, E107, Z847, Z852
Source: Schedule of Benefits (July 1, 2026), Ocular Surgical Procedures, Eyeball, page Y1 (Surgical Preamble SP1-SP5; General Preamble GP64, GP85-GP86, GP92-GP93, GP103-GP104)
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