[Notice] Non-covered Service Fees and Certificate Issuance Guide
· In accordance with Article 45 of the Medical Service Act and Article 42-2 of its Enforcement Rules [Disclosure of Non-covered Fees], non-covered service fees are provided below for your reference.
· Procedure fees represent the cost of a single individual item; hospitalization, anesthesia, drugs, and treatment materials are calculated separately. Treatment material prices may also vary by specification.
· The listed fee is the cost of a single item per session; the actual cost may vary depending on the treatment scope/frequency and prescribed quantity.
[Unit: KRW]
Procedure fee | |||||||||||
Major category | Minor category | Item | Fees, etc. (unit: KRW) | Remarks | Last Updated | ||||||
Code | Name | Type | Cost | Minimum cost | Maximum cost | Treatment material cost Included (Y/N) | Drug cost Included (Y/N) | ||||
Examination fee | Functional examination fee | E7800 | Ocular biometry [unilateral] |
|
| 20,000 | 300,000 | X | X | Non-covered if performed outside approved criteria, | 2022.11.01 |
Examination fee | Functional examination fee | E7801 | Ocular biometry [unilateral] |
|
| 35,000 | 300,000 | X | X | Non-covered if performed outside approved criteria, | 2025.04.01 |
Examination fee | Functional examination fee | EZ796 | Optical Coherence Tomography (OCT) [unilateral] |
|
| 5,000 | 30,000 | X | X | Non-covered if performed outside insurance criteria, |
|
Examination fee | Functional examination fee | EZ796 | Corneal OCT |
| 25,000 |
|
| X | X | Non-covered if performed outside insurance criteria; varies by qualification |
|
Examination fee | Functional examination fee | EZ796 | Detailed Anterior Segment OCT [unilateral] |
|
| 100,000 | 150,000 | X | X | Non-covered if performed outside insurance criteria, | 2023.03.13 |
Examination fee | Functional examination fee | EZ799 | By interferometry |
| 20,000 |
|
| X | X |
|
|
Examination fee | Functional examination fee | EX795 | Scheimpflug |
|
| 10,000 | 200,000 | X | X |
| 2022.09.01 |
Physical therapy fee | Physical therapy fee | MZ015 | Laser barrier treatment |
| 50,000 |
|
| X | X | 1 session | |
Surgery | ||||||||
Item | Fees, etc. (unit: KRW) | Remarks | Last Updated | |||||
Name | Type | Cost | Minimum cost | Maximum cost | Treatment material cost Included (Y/N) | Drug cost Included (Y/N) | ||
Vision correction surgery fee | LASIK |
| 1,800,000 | 2,400,000 | X | X | Binocular cost, | 2021.09.29 |
Vision correction surgery fee | LASEK |
| 1,300,000 | 2,300,000 | X | X | Binocular cost, | 2021.09.29 |
Vision correction surgery fee | Phakic IOL (ICL) implantation |
| 4,500,000 | 6,500,000 | O | X | Binocular cost, | 2022.11.01 |
Vision correction surgery fee | Astigmatism correction |
| 500,000 | 1,000,000 | X | X | Monocular cost, | 2022.10.30 |
Conjunctival nevus removal |
|
| 100,000 | 300,000 | X | X |
|
|
Blepharoplasty (non-incisional) |
| 1,100,000 |
|
| O | X | Binocular |
|
Blepharoplasty (incisional) |
| 1,300,000 |
|
| O | X | Binocular |
|
Blepharoplasty (monocular re-op) |
| 250,000 |
|
| O | X | Monocular, reoperation |
|
Blepharoplasty (binocular re-op) |
| 300,000 |
|
| O | X | Binocular, reoperation |
|
Lower eyelid fat removal |
| 1,200,000 |
|
| O | X | Binocular |
|
Corneal cross-linking (CXL) |
|
|
| 3,000,000 | O | X | Monocular cost, | 2021.09.28 |
Corneal cross-linking (CXL) |
|
| 300,000 | 500,000 | O | X | Monocular cost, | 2021.09.28 |
Intrastromal corneal ring segment (ICRS) implantation |
|
| 4,000,000 | 5,000,000 | O | X | Monocular cost, | 2021.09.28 |
Avastin (bevacizumab) injection |
|
| 25,000 | 210,000 | X | O | Monocular, | 2022.03.02 |
Corneal tattoo |
|
| 800,000 | 1,500,000 | X | X | Monocular; varies by surgical method | 2023.09.21 |
Wart removal |
| 50,000 |
|
| X | X | Non-covered if performed outside insurance criteria; cost per unit, | 2024.02.19 |
Milium removal |
| 5,000 |
|
| X | X | Cost per unit; varies by surgical method | 2023.10.20 |
Treatment material cost | |||||||
Major category | Item | Remarks | Last Updated | ||||
Code | Name | Type | Minimum cost | Maximum cost | |||
Accommodative intraocular lens | BI0207LN | TECNIS EYHANCE IOL |
| ₩ 1,000,000 | ₩ 2,000,000 |
| 2023.08.07 |
Accommodative intraocular lens | BI0207LN | TECNIS EYHANCE TORIC IOL |
| ₩ 1,000,000 | ₩ 2,000,000 |
| 2024.01.02 |
Accommodative intraocular lens | BI0208EB | ACRYSOF IQ PANOPTIX |
| ₩ 2,000,000 | ₩ 3,000,000 |
| 2024.01.02 |
Accommodative intraocular lens | BI0200EB | ACRYSOF IQ PANOPTIX TORIC |
| ₩ 2,000,000 | ₩ 3,000,000 |
| 2024.01.02 |
Accommodative intraocular lens | BI0211EB | CLAREON PANOPTIX IOL |
| ₩ 4,000,000 | ₩ 5,000,000 |
| 2023.08.07 |
Accommodative intraocular lens | BI0212EB | CLAREON PANOPTIX IOL toric |
| ₩ 4,000,000 | ₩ 5,000,000 |
| 2023.08.07 |
Accommodative intraocular lens | BI0212LN | TECNIS PURE SEE |
| ₩ 2,000,000 | ₩ 3,000,000 |
| 2024.01.30 |
Accommodative intraocular lens | BI0213LN | TECNIS PURE SEE TORIC |
| ₩ 2,000,000 | ₩ 3,000,000 |
| 2024.01.30 |
Accommodative intraocular lens | BI0201DB | Gemetric |
| ₩ 2,500,000 | ₩ 3,500,000 |
| 2024.05.01 |
Accommodative intraocular lens | BI0200DB | Gemetric Toric |
| ₩ 2,500,000 | ₩ 3,500,000 |
| 2024.05.01 |
Accommodative intraocular lens | BI0205HM | SULCOFLEX TRIFOCAL IOL |
| ₩ 2,000,000 | ₩ 3,000,000 |
|
|
Accommodative intraocular lens | BI0200IT | S-FLEX |
| ₩ 600,000 | ₩ 1,000,000 |
| 2025.02.20 |
Accommodative intraocular lens | BI0207OZ | ELANA |
| ₩ 2,500,000 | ₩ 3,500,000 |
| 2025.03.13 |
Accommodative intraocular lens | BI0214LN | Odyssey |
| ₩ 3,000,000 | ₩ 4,000,000 |
| 2025.07.17 |
Accommodative intraocular lens | BI0215LN | Odyssey toric |
| ₩ 3,000,000 | ₩ 4,000,000 |
| 2025.07.17 |
Accommodative intraocular lens | BI0206HA | Acriva Trinova Pro |
| ₩ 2,000,000 | ₩ 3,000,000 |
| 2025.11.08 |
Accommodative intraocular lens | BIO205NK | Luxsmart |
| ₩ 2,000,000 | ₩ 3,000,000 |
| 2025.12.05 |
Injection | |||
Item | Fees, etc. (unit: KRW) | Remarks | Last Updated |
Name | Cost | ||
Vitamin D injection | 30,000 | 1 session |
|
Placenta injection | 30,000 | 1 session |
|
Riverdion Inj. 2ml | 150,000 | 1 session |
|
Certificate issuance fee | ||||
Item | Fees, etc. (unit: KRW) | Remarks | Last Updated | |
Name | Type | Cost | ||
Diagnosis certificate | General diagnosis certificate | 15,000 | 1 sheet | 2023.12.01 |
Doctor's opinion letter | Opinion letter | 15,000 | 1 sheet | 2023.12.01 |
Surgery confirmation certificate | Surgery confirmation certificate | 3,000 | 1 sheet | 2021.08.13 |
Admission/Discharge certificate | Admission/Discharge certificate | 3,000 | 1 sheet | 2023.12.01 |
Treatment confirmation certificate | Treatment confirmation certificate | 3,000 | 1 sheet | 2023.12.01 |
Outpatient visit certificate | Outpatient visit certificate | 3,000 | 1 sheet | 2023.12.01 |
Copy of medical records | Copy of medical records (1-5 sheets) | 1,000 | Up to 5 copies | 2021.08.13 |
Copy of medical records | Copy of medical records (6+ sheets) | 100 | From 6 copies | 2021.08.13 |
Medical record imaging | CD copy | 10,000 |
| 2023.12.01 |
English diagnosis certificate | English diagnosis certificate | 20,000 | 1 sheet | 2023.12.01 |
Diagnosis certificate for military service | Diagnosis certificate for military service | 20,000 | 1 sheet | 2023.12.01 |
Disability diagnosis certificate | Physical disability | 15,000 | 1 sheet |
|
Diagnosis for work ability evaluation | For work ability evaluation | 10,000 | 1 sheet |
|
Other | |||
Item | Fees, etc. (unit: KRW) | Remarks | Last Updated |
Name | Cost | ||
Lens cleaning solution | 7,000 ~ 10,000 |
| 2024.05.01 |
Lens storage solution | 7,000 ~ 10,000 |
| 2024.05.01 |
Dream lens (Ortho-K) | 400,000 ~ 600,000 | Monocular | 2021.05.21 |
Hard lens (RGP) | 200,000 ~ 500,000 | Binocular |
|
Soft lens | 40,000 ~ 400,000 | Binocular |
|
Drug cost | |||||
Major category | EDI Code | Item | Fees, etc. (unit: KRW) | Remarks | Last Updated |
Name | Cost | ||||
|
| Autologous serum eye drops | 1 bottle: 50,000 |
|
|
Autologous platelet-rich plasma (PRP) | SZ677 | Autologous platelet-rich plasma (PRP) | 1 session: 100,000 | Dry eye, inflammation-related | 2026.04.01 |
※ Diagnosis certificates for general injuries are not issued.
Under the Personal Information Protection Act, certificates may be issued only to the person concerned.
Certificates are issued only after in-person identity verification at our clinic; we kindly ask for your cooperation.
*Medical fees may vary for Korean and foreign patients depending on whether they are enrolled in Korea’s National Health Insurance.

2026.07.07











