Billing code
E157A — Placement And Suturing Of Iris Prosthetic Device With Or Without Suturing Of Iris/pupillary Defect
Iris prosthetic device placement
Bill for placing or suturing an iris prosthetic device, with or without suturing an iris or pupillary defect.
Watch for: E950 lens insertion and E123 division of iris to cornea or angle aren't payable with E157.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $550.00 | $0.00 | $77.46 | $111.72 | $111.72 |
- Code
- E157A
- Description
- Placement And Suturing Of Iris Prosthetic Device With Or Without Suturing Of Iris/pupillary Defect
- 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
Placement and/or suturing of an iris prosthetic device, with or without suturing of the iris or pupillary defect.
What it covers
E157 covers placing and/or suturing an iris prosthetic device, with or without suturing of an iris or pupillary defect (Y4).
Suturing of an iris or pupillary defect without a prosthetic device is E156 (Y4).
Billing rules
- E950 lens insertion is not payable with E157 (Y4).
- E123 division of iris to cornea and/or angle is not payable with E157 (Y3).
- More than one procedure under the same anaesthetic: the major procedure is paid in full and the others at 85% (SP2).
- Age premiums of 10% to 30% apply for patients under 16 (GP64).
- Marked #: the fee does not include the premises, equipment, supplies or staff for the procedure itself, which the hospital or ICHSC funds (SP1).
Related codes: E156, E130, E123, E950, E138
Source: Schedule of Benefits (July 1, 2026), Ocular Surgical Procedures, Sclera, Iris and Ciliary Body, page Y4.
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