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Medical Treatment Procedures covered by the Medical Insurance Policy - Type 3.

Eyes, Lens and Retina

  Eyes Band
C0110 Exenteration of orbit PatientChoice Medical    Insurance Band 3
C0120 Enucleation/evisceration of eyeball PatientChoice Medical Insurance Band 3
C0122 Enucleation/evisceration of eyeball (with implant) PatientChoice Medical Insurance Band 3
C0212 Excision of lesion of orbit - anterior approach PatientChoice Medical Insurance Band 3
C0213 Excision of lesion of orbit - lateral orbitomy PatientChoice Medical Insurance Band 3
C0512 Simple reconstruction of socket (not including implant or graft) PatientChoice Medical Insurance Band 3
C0513 Reconstruction of socket with either implant or graft PatientChoice Medical Insurance Band 3
C0514 Reconstruction of socket with implant and graft PatientChoice Medical Insurance Band 4
C0610 Biopsy of lesion of orbit PatientChoice Medical Insurance Band 4
C0620 Drainage of orbit PatientChoice Medical Insurance Band 3
C0630 Decompression of orbit PatientChoice Medical Insurance Band 3
C0640 Removal of foreign body from orbit PatientChoice Medical Insurance Band 3
C0650 Exploration of orbit (as sole procedure) PatientChoice Medical Insurance Band 3
C0840 Orbital injection PatientChoice Medical Insurance Band 3
C1010 Excision of lesion of eyebrow PatientChoice Medical Insurance Band 3
C1040 Suture of eyebrow PatientChoice Medical Insurance Band 3
C1110 Excision of lesion of canthus PatientChoice Medical Insurance Band 3
C1130 Correction of epicanthus PatientChoice Medical Insurance Band 3
C1140 Correction of telecanthus PatientChoice Medical Insurance Band 2
C1150 Graft of skin to canthus PatientChoice Medical Insurance Band 3
C1160 Canthotomy PatientChoice Medical Insurance Band 3
C1210 Excision of lesion of eyelid PatientChoice Medical Insurance Band 3
C1320 Blepharoplasty of upper and/or lower lid - unilateral    PatientChoice Medical Insurance Band 3
C1340 Blepharoplasty of upper and/or lower lid - bilateral     PatientChoice Medical Insurance Band 2
C1341 Blepharoplasty - bilateral    PatientChoice Medical Insurance Band 2
C1420 Graft of skin to eyelid PatientChoice Medical Insurance Band 2
C1512 Correction of lower lid ectropion without graft/flap PatientChoice Medical Insurance Band 2
C1513 Correction of lower lid ectropion with graft/flap PatientChoice Medical Insurance Band 3
C1522 Correction of entropion - lower lid PatientChoice Medical Insurance Band 2
C1523 Correction of entropion - upper lid, including graft/flap PatientChoice Medical Insurance Band 3
C1532 Correction of trichiasis by electrolysis/diathermy/cryotherapy/laser PatientChoice Medical Insurance Band 4
C1540 Surgical correction of trichiasis /upper lid entropion, including graft/flap PatientChoice Medical Insurance Band 3
C1640 Tarsorrhaphy PatientChoice Medical Insurance Band 3
C1700 Total reconstruction of eyelid - unilateral PatientChoice Medical Insurance Band 3
C1710 Suture of eyelid (laceration) (as sole procedure) PatientChoice Medical Insurance Band 3
C1810 Correction of ptosis of eyelid - simple, including tarsomullerectomy PatientChoice Medical Insurance Band 3
C1812 Correction of ptosis of eyelid - complex PatientChoice Medical Insurance Band 3
C1813 Correction of ptosis of eyelid with autologous fascia lata PatientChoice Medical Insurance Band 3
C2220 Biopsy of lesion of eyelid PatientChoice Medical Insurance Band 3
C2510 Canaliculo dacryo cysto rhinostomy (including intubation) PatientChoice Medical Insurance Band 3
C2520 Conjunctivo dacryo cysto rhinostomy (including intubation) PatientChoice Medical Insurance Band 3
C2540 Dacryocysto-rhinostomy, including insertion of tube PatientChoice Medical Insurance Band 3
C2542 Dacryocysto-rhinostomy (endoscopic/laser assisted), including insertion of tube PatientChoice Medical Insurance Band 3
C2542 Dacryocysto-rhinostomy (endoscopic/laser assisted), including insertion of tube PatientChoice Medical Insurance Band 3
C2550 Lacrimal intubation (as sole procedure) PatientChoice Medical Insurance Band 1
C2610 Excision/Biopsy of lacrimal sac PatientChoice Medical Insurance Band 3
C2640 Incision of lacrimal sac PatientChoice Medical Insurance Band 3
C2650 Probing of nasolacrimal system with/without syringing and/or irrigation PatientChoice Medical Insurance Band 2
C2910 Puncto-canaliculoplasty PatientChoice Medical Insurance Band 2
C3910 Excision/biopsy of conjunctival lesion PatientChoice Medical Insurance Band 2
C3960 Excision of pterygium PatientChoice Medical Insurance Band 2
C4010 Mucosal graft to conjunctiva PatientChoice Medical Insurance Band 2
C4050 Suture of conjunctiva PatientChoice Medical Insurance Band 2
C4100 Drainage of conjunctival cyst PatientChoice Medical Insurance Band 3
C4350 Exploration of conjunctiva (including removal of foreign body) PatientChoice Medical Insurance Band 3
C4520 Excision of lesion of cornea PatientChoice Medical Insurance Band 3
C4620 Lamellar graft (keratoplasty) to cornea PatientChoice Medical Insurance Band 3
C4630 Perforating graft (keratoplasty) to cornea PatientChoice Medical Insurance Band 3
C4640 Descemets stripping endothelial keratoplasty (DSEK) PatientChoice Medical Insurance Band 3
C4650 Revision of corneal graft/wound PatientChoice Medical Insurance Band 1
C4690 Implantation of Synthetic corneal rings for keratoconus (including INTACS) PatientChoice Medical Insurance Band 3
C4710 Repair of corneal wound PatientChoice Medical Insurance Band 3
C4730 Removal of corneal suture PatientChoice Medical Insurance Band 3
C4810 Removal of superficial corneal foreign body PatientChoice Medical Insurance Band 2
C4980 Tension sutures PatientChoice Medical Insurance Band 2
C5122 Chelation of cornea/photo therapeutic keratectomy PatientChoice Medical Insurance Band 3
C5180 Corneal scraping for culture PatientChoice Medical Insurance Band 3
C5300 Excision of lesion of sclera PatientChoice Medical Insurance Band 3
C5340 Insertion of tantalum marker ring PatientChoice Medical Insurance Band 3
C5432 Conventional retinal surgery (may include scleral buckling, injection of gas, drainage and retinopexy) PatientChoice Medical Insurance Band 3
C5480 Removal of silicone oil PatientChoice Medical Insurance Band 3
C5720 Repair of scleral laceration PatientChoice Medical Insurance Band 3
C5730 Scleral graft PatientChoice Medical Insurance Band 3
C5910 Iridocyclectomy PatientChoice Medical Insurance Band 3
C5920 Surgical iridectomy PatientChoice Medical Insurance Band 3
C6010 Surgical trabeculectomy or other penetrating glaucoma procedures PatientChoice Medical Insurance Band 3
C6011 Canaloplasty (of Schlemm’s Canal with microcatheter) PatientChoice Medical Insurance Band 3
C6012 Canaloplasty (of Schlemm's Canal with microcatheter) combined with Phakoemulsification of lens
with implant "Phako-Canaloplasty“
PatientChoice Medical Insurance Band 3
C6110 Laser trabeculoplasty PatientChoice Medical Insurance Band 6
C6130 Goniotomy (surgical treatment of glaucoma) PatientChoice Medical Insurance Band 2
C6150 Revision of previous glaucoma surgery PatientChoice Medical Insurance Band 3
C6160 Complex glaucoma surgery (including anti-metabolites/insertion of seton devices) PatientChoice Medical Insurance Band 3
C6230 Laser iridotomy PatientChoice Medical Insurance Band 5
C6410 Repair of prolapsed iris PatientChoice Medical Insurance Band 3
C6420 Excision of lesion of iris PatientChoice Medical Insurance Band 3
C6450 Removal of foreign body from iris PatientChoice Medical Insurance Band 3
C6610 Ciliary body ablation PatientChoice Medical Insurance Band 3
C6710 Cyclodialysis (separation of ciliary body) PatientChoice Medical Insurance Band 3
C6910 Reformation of anterior chamber PatientChoice Medical Insurance Band 3
C6920 Paracentesis PatientChoice Medical Insurance Band 3
C6940 Irrigation/aspiration of anterior chamber PatientChoice Medical Insurance Band 5
C6980 Removal of foreign body from anterior chamber PatientChoice Medical Insurance Band 3
C6990 Insertion of valve into anterior chamber of eye PatientChoice Medical Insurance Band
C7100 Extracapsular extraction without implant - bilateral PatientChoice Medical Insurance Band
C7110 Extracapsular extraction without implant - unilateral PatientChoice Medical Insurance Band 3

  Lens Band
C6170 Goniosynechialysis or goniopuncture (with laser or operatively) PatientChoice Medical Insurance Band 4
C7122 Phakoemulsification of lens with implant - unilateral PatientChoice Medical Insurance Band 4
C7123 Phakoemulsification of lens without implant - unilateral PatientChoice Medical Insurance Band 3
C7124 Phakoemulsification of lens without implant - bilateral PatientChoice Medical Insurance Band 6
C7125 Phakoemulsification of lens with implant - bilateral PatientChoice Medical Insurance Band 1
C7180 Extracapsular extraction with implant - unilateral PatientChoice Medical Insurance Band 3
C7190 Extracapsular extraction with implant - bilateral PatientChoice Medical Insurance Band 3
C7340 Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) PatientChoice Medical Insurance Band 3
C7510 Secondary insertion of lens implant PatientChoice Medical Insurance Band 4
C7520 Lens implant/exchange PatientChoice Medical Insurance Band 3
C7530 Removal of lens implant PatientChoice Medical Insurance Band 3
C7910 Anterior vitrectomy PatientChoice Medical Insurance Band 3
C7920 Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy PatientChoice Medical Insurance Band
C7922 Pars plana vitrectomy/vitreous biopsy PatientChoice Medical Insurance Band
C7923 Intravitreal injection of pharmaceutical for neovascular age related macular degeneration PatientChoice Medical Insurance Band

  Retina Band
C7924 Intravitreal injection of pharmaceutical for central retinal vein occlusion PatientChoice Medical Insurance Band 1
C7982 Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy, including dissection or excision of epiretinal membrane/macular surgery PatientChoice Medical Insurance Band 1
C8200 Laser photocoagulation/cryotherapy of lesion of retina PatientChoice Medical Insurance Band 1
C8440 Retinal examination under anaesthetic including retinopexy if necessary PatientChoice Medical Insurance Band
C8650 Fluorescein angiography of eye (including occular photography) PatientChoice Medical Insurance Band
C8654 Insertion and removal of radioactive plaque into eye PatientChoice Medical Insurance Band

 


Excellent service all round. I have started recommending PatientChoice to my friends and professional colleagues.
Dr R B
Private Medical Insurance