E123 – Division of iris to cornea and/or angle
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
This service covers the division of the iris to the cornea. As a surgical procedure, payment includes the constituent and common elements of insured services as outlined in the Schedule of Benefits (see -). The fee for the surgeon (suffix A) includes pre-operative and post-operative care. Anaesthesia services (suffix C) are payable separately and are calculated based on 6 base units plus time units (see , ). Surgical assistance is not an eligible service for this procedure.
When to Use
- Use E123 for the surgical division of the iris to the cornea or angle when performed as a primary procedure.
- Select this code when performing iris-corneal synechiolysis or similar surgical iris divisions that do not fall under more specific ocular codes.
Common Pitfalls
- Do not bill surgical assistance (e.g., A095) for this procedure, as the Schedule of Benefits explicitly excludes it.
- Avoid billing E123 in conjunction with restricted codes E133, E132, E114, E115, E156, or E157, as these represent mutually exclusive or bundled ocular procedures.
- Ensure the procedure is not miscoded as a minor office procedure; E123 is a surgical code and includes all pre-operative and post-operative care within the fee.
Billing Tips
- If the procedure is performed after hours or on weekends, apply the appropriate E409 or E410 premium to the procedural fee, provided the criteria for non-elective or delayed elective surgery are met.
- When an anaesthesiologist is involved, ensure the anaesthesia units are billed separately using suffix C, starting with the 6 base units plus time, and adding relevant patient-specific modifiers like E022C for ASA III patients.
Effective: April 1, 2025
Y. Ocular and Aural Surgical Procedures
OCULAR SURGICAL PROCEDURES
Surgical
Ocular and Aural Surgical Procedures
Anae: 6
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.