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Billing code

E149A — Anterior Vitrectomy - Vitreous Injection Or Aspiration, Posterior With Needle For Culture And/or Injection Of Medication, Other Than For Macular Degeneration

Vitreous injection or aspiration

Bill for a posterior needle injection or aspiration of the vitreous for culture or medication, for conditions other than macular degeneration.

Watch for: Not payable with E112 pneumatic retinopexy the same day, or at surgery when the drug relates to the main operation.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$90.00$0.00$0.00$79.80$79.80
Code
E149A
Description
Anterior Vitrectomy - Vitreous Injection Or Aspiration, Posterior With Needle For Culture And/or Injection Of Medication, Other Than For Macular Degeneration
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

Posterior vitreous injection or needle aspiration for culture and/or injection of medication, for conditions other than macular degeneration.

What it covers

Vitreous injection or aspiration through the posterior approach with a needle, for culture and/or injection of medication, other than for macular degeneration (Y6). Wet macular degeneration injections are E186 (left) and E187 (right).

The fee is marked #, so it does not include premises, equipment, supplies or staff for the procedure itself (SP1). No surgical assistant fee is payable (Y6).

Billing rules

  • Not payable at the time of surgery when the agent (for example antibiotics or steroids) relates to the condition treated by the main operation. It can be added only for a clearly separate, unrelated diagnosis for which E149 is the primary treatment (Y7).
  • Not payable with E112 pneumatic retinopexy on the same day (Y6, Y8).
  • Z851 and Z844 are not payable on the same day; use the E175 add-on for therapeutic paracentesis through a separate site (Y2, Y6).
  • Anaesthesia by an anaesthetist is billed as E023C; GP97 time and extra units and E003C are not payable for these injections (Y6, GP100).
  • Age premiums for surgical procedures apply to patients under 16 (GP64).

Often billed with

  • E175 therapeutic paracentesis through a separate site (Y6).

Common rejections

  • ADH: Cannot be billed together: E149 is not payable with E112 on the same day (Y8).

Related codes: E186, E187, E175, Z844, Z851, E148, E112

Source: Schedule of Benefits (July 1, 2026), Ocular Surgical Procedures, Vitreous, page Y6.

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