E107 – Penetrating wound - without prolapse of intraocular tissue
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
This service is for the surgical repair of a penetrating wound of the eyeball where there is no prolapse of intraocular tissue. The fee for the surgeon is claimed with suffix 'A'. Fees for a surgical assistant (suffix 'B') and an anaesthesiologist (suffix 'C') are also payable and calculated based on basic and time units. See 'Unit-Based Info' for details. The service includes common and specific elements as defined in the Schedule of Benefits, such as pre-operative preparation, the procedure itself, and immediate post-operative care.
When to Use
- Use E107A for the primary repair of a corneal or scleral laceration where the wound is full-thickness but no uveal or vitreous tissue has prolapsed.
- Select E107A when the surgical intervention is limited to suturing the wound edges without the need for complex tissue repositioning or excision required in E108A.
Common Pitfalls
- Billing E107A when tissue prolapse is present, which necessitates the higher-valued E108A code; this will trigger an audit for clinical discrepancy.
- Attempting to claim a second surgical assistant without prior authorization, as E107A is not on the pre-approved list for multiple assistants.
Billing Tips
- Ensure the operative report explicitly states 'no prolapse of intraocular tissue' to justify the use of E107A over E108A during a post-payment review.
- If the procedure is performed after hours, remember to append the appropriate surgical assistant special visit premium (C998B, C999B, or C983B) if the criteria for travel and non-elective status are met.
Effective: April 1, 2025
Y. Ocular and Aural Surgical Procedures
OCULAR SURGICAL PROCEDURES
Surgical
Ocular and Aural Surgical Procedures
A second assistant's service requires authorization by a medical consultant unless the procedure is on the pre-approved list (). E107 is not on this list.
Services rendered by a Medical Trainee (Resident or Clinical Fellow) under the supervision of a Supervising Physician may be payable to the Supervising Physician subject to the rules and conditions outlined in the Schedule of Benefits (-).
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.