Billing code
E140A — Cataract - All Types Of, By Any Procedure, Includes Insertion Of Intraocular Lens
Cataract surgery
Bill for cataract extraction of any type, including removing the native lens and inserting an artificial intraocular lens.
Watch for: E146 lens insertion and E234 canthotomy aren't payable with it; a pre-op consultation is paid only if the chart shows medical necessity.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $397.75 | $0.00 | $0.00 | $79.80 | $79.80 |
- Code
- E140A
- Description
- Cataract - All Types Of, By Any Procedure, Includes Insertion Of Intraocular Lens
- 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
Cataract surgery of any type by any procedure, including removing the native lens and inserting an artificial intraocular lens.
What it covers
Cataract extraction of all types, by any procedure, including extraction of the native lens and insertion of an artificial intraocular lens (Y5).
The fee includes a retrobulbar injection given by the surgeon (Y5). The fee is marked #: it doesn't include premises, equipment, supplies or staff for the procedure itself, which the hospital or facility funds (SP1).
Billing rules
- A pre-operative consultation by any physician before cataract surgery under local anaesthesia and/or IV sedation is payable only when the chart shows it was medically necessary (GP18).
- E146 (lens insertion in an aphakic eye) is not payable with E140 (Y5).
- Canthotomy E234 is not to be claimed with E140 (Y11).
- When cataract extraction is done with a glaucoma procedure on the same eye, the Schedule lists the E110 add-on to E132, E114 or E115 (Y4).
- Anaesthesia by an anaesthetist is billed as E023C; GP97 time and extra units and E003C are not payable, nor is local or topical anaesthesia (Y5, GP100).
- The surgical fee includes pre-op preparation, the procedure, recovery care and follow-up until the first post-op visit, but not the major pre-operative visit where the decision to operate is made (SP1–SP2).
- Listed fees are for one side unless stated (SP4). Multiple procedures under the same anaesthetic: 100% for the major one and 85% for the others (SP2).
- Age premiums for surgical procedures apply to patients under 16 (GP64).
Related codes: E141, E139, E110, E146, E144, E023
Source: Schedule of Benefits (July 1, 2026), Ocular Surgical Procedures, Crystalline Lens, page Y5.
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