68 Prescribed List billing codes
| Billing code | Product | Category | Benefit | Status | Last changed |
|---|---|---|---|---|---|
| AL002 | Model CZ70BD | 01 - Ophthalmic | $126.00 | — | — |
| AL003 | MTA2UO - MTA6UO | 01 - Ophthalmic | $126.00 | — | — |
| AL004 | Acrysof Multipiece Models MA50BM, MA60AC, MA60MA | 01 - Ophthalmic | $214.00 | — | — |
| AL005 | DUOVISC VISCOELASTIC SYSTEM | 01 - Ophthalmic | $66.00 | — | — |
| AL006 | PROVISC VISCOELASTIC SOLUTION | 01 - Ophthalmic | $52.00 | — | — |
| AL007 | VISCOAT Viscoelastic Fluid | 01 - Ophthalmic | $52.00 | — | — |
| AL011 | Acrysof Model SA60AT | 01 - Ophthalmic | $214.00 | — | — |
| AL013 | Perfluoron Kits | 01 - Ophthalmic | $217.00 | — | — |
| AL014 | Perfluoron Kits | 01 - Ophthalmic | $217.00 | — | — |
| AL015 | Cellugel Ophthalmic Viscosurgical Device | 01 - Ophthalmic | $52.00 | — | — |
| AL016 | Alcon Acrysof Natural Model SN60AT | 01 - Ophthalmic | $232.00 | — | — |
| AL021 | Alcon AcrySof SN60WF | 01 - Ophthalmic | $221.00 | — | — |
| AL025 | AcrySof Multipiece Models MN60MA, MN60AC | 01 - Ophthalmic | $232.00 | — | — |
| AL029 | DisCoVisc Ophthalmic Viscosurgical Device | 01 - Ophthalmic | $52.00 | — | — |
| AL030 | AcrySof IQ ReSTOR SN6AD1, SV25T0 and MN6AD1 | 01 - Ophthalmic | $651.00 | — | — |
| AL031 | AcrySert C Model SN6CWS | 01 - Ophthalmic | $291.00 | — | — |
| AL032 | AcrySof IQ Toric IOL | 01 - Ophthalmic | $471.00 | — | — |
| AL033 | AcrySof IQ ReSTOR multifocal toric IOL (SND1T2-T6; SV25T2-T6) | 01 - Ophthalmic | $934.00 | — | — |
| AL035 | ISPAN Retinal Gases for Constellation® Vision System | 01 - Ophthalmic | $67.00 | — | — |
| AL036 | ISPAN retinal gases | 01 - Ophthalmic | $67.00 | — | — |
| AL037 | Ex-Press Glaucoma Filtration Device | 01 - Ophthalmic | $645.00 | — | — |
| AL038 | Acrysof Aspheric UV-absorbing IOL | 01 - Ophthalmic | $232.00 | — | — |
| AL039 | AcrySof IQ Aspheric IOL with UltraSert pre-loaded delivery system | 01 - Ophthalmic | $291.00 | — | — |
| AL040 | AcrySof IQ PanOptix Trifocal IOL | 01 - Ophthalmic | $651.00 | — | — |
| AL043 | AcrySof IQ PanOptix Toric Trifocal IOL | 01 - Ophthalmic | $934.00 | — | — |
| AL044 | Clareon AutonoMe | 01 - Ophthalmic | $291.00 | — | — |
| AL045 | AcrySof Aspheric UV Absorbing Toric Intraocular Lens | 01 - Ophthalmic | $514.00 | — | — |
| AL046 | AcrySof IQ Vivity Toric Extended Vision Intraocular Lens | 01 - Ophthalmic | $934.00 | — | — |
| AL049 | Clareon AutonoMe Toric | 01 - Ophthalmic | $585.00 | — | — |
| AL050 | AcrySof IQ Vivity Extended Vision Intraocular Lens | 01 - Ophthalmic | $651.00 | — | — |
| AL051 | Clareon PanOptix Trifocal Hydrophobic Intraocular Lens (Model CNWTT0) | 01 - Ophthalmic | $651.00 | — | — |
| AL052 | Clareon PanOptix Trifocal UV Absorbing Intraocular Lens (Model CCWTT0) | 01 - Ophthalmic | $619.00 | — | — |
| AL053 | Clareon PanOptix Trifocal UV Absorbing IOL with the AutonoMe Automated… | 01 - Ophthalmic | $635.00 | — | — |
| AL056 | Clareon Toric Aspheric Hydrophobic Acrylic IOL | 01 - Ophthalmic | $471.00 | — | — |
| AL057 | Clareon Aspheric Hydrophobic Acrylic Intraocular Lens (Model SY60WF) | 01 - Ophthalmic | $221.00 | — | — |
| AL058 | Clareon PanOptix Toric Trifocal Hydrophobic Intraocular Lens (Models C… | 01 - Ophthalmic | $934.00 | — | — |
| AL059 | Clareon Vivity Toric Extended Vision Hydrophobic IOL (Models CNWET2 - … | 01 - Ophthalmic | $934.00 | — | — |
| AL060 | Clareon Vivity Extended Vision Hydrophobic IOL (Model CNWET0) | 01 - Ophthalmic | $651.00 | — | — |
| AL061 | Clareon PanOptix Toric Trifocal Hydrophobic IOL with AutonoMe (Model C… | 01 - Ophthalmic | $950.00 | — | — |
| AL062 | Clareon PanOptix Trifocal Hydrophobic IOL with AutonoMe (Model CNATT0) | 01 - Ophthalmic | $666.00 | — | — |
| AL063 | Clareon PanOptix Toric Trifocal UV Absorbing IOL with AutonoMe (Model … | 01 - Ophthalmic | $918.00 | — | — |
| AL064 | Clareon Vivity Toric Extended Vision Hydrophobic Intraocular Lens with… | 01 - Ophthalmic | $950.00 | — | — |
| AL065 | Clareon Toric Aspheric UV Absorbing IOL with AutonoMe (Moded CCAOT2-CC… | 01 - Ophthalmic | $530.00 | — | — |
| AL066 | Clareon Vivity Extended Vision Hydrophobic Intraocular Lens with Auton… | 01 - Ophthalmic | $666.00 | — | — |
| AL067 | Clareon Vivity UV Absorbing IOL with AutonoMe Automated Pre-loaded De… | 01 - Ophthalmic | $635.00 | — | — |
| AL068 | Clareon Vivity Extended Vision UV Absorbing Intraocular Lens (Model CC… | 01 - Ophthalmic | $619.00 | — | — |
| AL069 | Clareon Vivity Toric Extended Vision UV Absorbing IOL with AutonoMe (M… | 01 - Ophthalmic | $918.00 | — | — |
| AL070 | Clareon Vivity Toric Extended Vision UV Absorbing Intraocular Lens (Mo… | 01 - Ophthalmic | $902.00 | — | — |
| AL071 | Hydrus Microstent | 01 - Ophthalmic | $1264.00 | — | — |
| AL072 | Clareon PanOptix Pro Trifocal IOL with AutonoMe (Model PXYAT0) | 01 - Ophthalmic | $666.00 | — | — |
| AL073 | Clareon PanOptix Pro Trifocal IOL (Model PXYWT0) | 01 - Ophthalmic | $651.00 | — | — |
| AL074 | Clareon PanOptix Pro Trifocal UV Absorbing IOL with AutonoMe (Model PX… | 01 - Ophthalmic | $635.00 | — | — |
| AL075 | Clareon PanOptix Pro Trifocal Toric IOL with AutonoMe (Model PXYAT2-PX… | 01 - Ophthalmic | $950.00 | — | — |
| AL076 | Clareon PanOptix Pro Trifocal Toric UV Absorbing IOL (Model PXCWT2-PXC… | 01 - Ophthalmic | $902.00 | — | — |
| AL077 | Clareon PanOptix Pro Trifocal Toric IOL (Model PXYWT2 - PXYWT6) | 01 - Ophthalmic | $934.00 | — | — |
| AL078 | Clareon PanOptix Pro Trifocal Toric UV Absorbing IOL with AutonoMe (Mo… | 01 - Ophthalmic | $918.00 | — | — |
| AL079 | Clareon PanOptix Pro Trifocal UV Absorbing IOL (Model PXCWT0) | 01 - Ophthalmic | $619.00 | — | — |
| AL080 | UNIPURE C3F8 Ophthalmic Gas in the UNIFEYE Gas Delivery System | 01 - Ophthalmic | $67.00 | — | — |
| AL081 | UNIPURE SF6 Ophthalmic Gas in the UNIPEXY Gas Delivery System | 01 - Ophthalmic | $67.00 | — | — |
| AL082 | UNIPURE SF6 Ophthalmic Gas in the UNIFEYE Gas Delivery System | 01 - Ophthalmic | $67.00 | — | — |
| AL083 | UNIPURE C3F8 Ophthalmic Gas in the UNIPEXY Gas Delivery System | 01 - Ophthalmic | $67.00 | — | — |
| QQ634 | Clareon Vivity Extended Vision UV Absorbing Intraocular Lens (Model CC… | 01 - Ophthalmic | $619.00 | — | — |
| QQ636 | Clareon Vivity Hydrophobic Intraocular Lens with the AutonoMe Automate… | 01 - Ophthalmic | $666.00 | — | — |
| QQ637 | Clareon Vivity Toric Extended Vision Hydrophobic IOL with AutonoMe (M… | 01 - Ophthalmic | $950.00 | — | — |
| QQ638 | Clareon Aspheric UV Absorbing IOL (Model CC60WF) | 01 - Ophthalmic | $232.00 | — | — |
| QQ639 | Clareon Vivity Toric UV Absorbing IOL with AutonoMe (Model CCAET2-CCA… | 01 - Ophthalmic | $918.00 | — | — |
| QQ640 | Clareon Vivity Toric Extended Vision UV Absorbing IOL (Model CCWET2 – … | 01 - Ophthalmic | $902.00 | — | — |
| QQ647 | Clareon Vivity UV Absorbing IOL with AutonoMe Automated Pre-loaded Del… | 01 - Ophthalmic | $635.00 | — | — |
Data sourced from Australian Government publications · Not an official government service · Why sponsors track the PL with us →