0.2mm is very, very, very large number.
With DSLR camera lenses, I have to sometimes tune them with 0.05mm and 0.02mm "washer" to make the bayonet square to my camera (that also must be perfect between chip and bayonet), for this a "washer" like thin foil could be used, see, e.g.:
https://www.ebay.com/itm/Brass-Metal-Thin-Sheet-Foil-Plate-Roll-0-02-x-100-x-1000mm-Metalworking-Supplies/192272791015?hash=item2cc459f5e7
I prefer if the camera is perfect, if the lenses are perfect etc. then you need less effort to make it work and make every pixel sharp, focus and count! with perfect gear you can combine it without issues and a need to re-fix-for-tilt.
Also, with my F/3.6 astrograph (ASA 10") I use 0.025mm focuser STEP to focus my telescope - hence I can see a difference of 0.05mm, definitively!