Billing code
E202A — Corneal cross-linking
Corneal cross-linking
Bill corneal cross-linking only for progressive keratoconus, post-refractive ectasia, pellucid marginal degeneration or recurrent keratoconus after transplant.
Watch for: Not payable for the same patient on the same day as E117 keratectomy or relaxing incisions.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $200.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E202A
- Description
- Corneal cross-linking
- 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
Corneal cross-linking (CXL) for progressive keratoconus, post-refractive ectasia, pellucid marginal degeneration or recurrent keratoconus after graft.
What it covers
Corneal cross-linking is payable only for: mild to moderate progressive keratoconus; corneal thinning or ectasia after laser photorefractive or phototherapeutic surgery; pellucid marginal corneal degeneration; or recurrent keratoconus after corneal transplant (Y2).
Billing rules
- Only for the listed medical indications (Y2).
- Not payable for the same patient on the same day as E117 keratectomy or relaxing incisions (Y2).
- 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).
Often billed with
- G810 corneal topography or G811 keratometry, which are insured when cross-linking is being considered or has been done (J92).
Common rejections
- ADH: Cannot be billed together: E202 is not payable on the same day as E117 (Y2).
Related codes: G810, G811, E117, E121, E122
Source: Schedule of Benefits (July 1, 2026), Ocular Surgical Procedures, Cornea, page Y2.
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