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E112

E112Pneumatic Retinopexy

OHIP Surgical Assists Code · Schedule of Benefits

Pneumatic Retinopexy

When to Use

  • Use E112 when performing an office-based pneumatic retinopexy for a simple retinal detachment involving a single superior break.
  • Select E112 as the primary procedure code when injecting an expansile gas bubble to tamponade a retinal break, provided no other vitrectomy or membrane peeling codes are billed.

Common Pitfalls

  • Billing E112 alongside E186 or E187 is a common rejection, as the intravitreal injection is considered an integral component of the pneumatic retinopexy procedure.
  • Attempting to bill Z851 or E175 for a paracentesis performed to lower intraocular pressure during the same session will result in a claim rejection due to the same-day restriction.

Billing Tips

  • Ensure the procedure is billed as a standalone event, as the inclusion of E148 or E142 on the same day will trigger an automatic audit or rejection of the E112 claim.
Provider Fee$160.00
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

Service Type

Ocular Surgical Procedure

Code Classes

Surgery

E148, E142, E149, E186, E187, E175 and Z851 are not eligible for payment with E112 on the same day.

A maximum of one E112 is eligible for payment per eye per day.

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E112 – Pneumatic Retinopexy | OHIP Fee Schedule | SnapBill MD