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E114

E114Plate and tube glaucoma drainage procedure

OHIP Surgical Assists Code · Schedule of Benefits

Plate and tube glaucoma drainage procedure

When to Use

  • Use E114 for the primary implantation of a glaucoma drainage device (e.g., Baerveldt or Ahmed valve) when a standard trabeculectomy is insufficient or contraindicated.
  • Use E114 when performing a revision or secondary implantation of a drainage device in an eye that has previously failed other glaucoma filtering procedures, ensuring the E984 add-on is applied.

Common Pitfalls

  • Billing E114 in conjunction with E123 will result in an automatic rejection, as the division of iris to cornea is considered bundled or restricted.
  • Failing to append the E984 add-on when operating on an eye with a history of prior filtering surgery results in significant under-billing of the procedure's complexity.
  • Attempting to bill E114 alongside E115 (MIGS) is generally disallowed as they represent different tiers of glaucoma intervention; ensure the clinical documentation justifies the more invasive E114.

Billing Tips

  • Always verify if the procedure is non-elective to trigger the E409 or E410 premiums, as these significantly increase the $840.00 base fee for urgent glaucoma control.
  • If performing a combined cataract extraction, ensure E110 is billed as an add-on to maximize the procedural reimbursement for the single surgical session.
Provider Fee$840.00
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

Service Type

Ocular Surgical Procedures

Code Classes

Surgery

The procedure must be performed by a surgeon (suffix A).

If an assistant is required, use suffix B.

If an anaesthetist is required, use suffix C.

Age-based premiums apply for patients under 16 years of age ().

After-hours premiums (E409/E410) apply for non-elective procedures.

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