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E124

E124Limbal stem cell transplant

OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits

Limbal stem cell transplant is a surgical procedure involving the replacement of corneal tissue. The service fee includes allowances for an assistant (6 basic units) and anaesthesia (8 basic units). Per the schedule, E117 is not eligible for payment with E124.

When to Use

  • Use E124 when performing a limbal stem cell transplant for patients with limbal stem cell deficiency.
  • Use this code for autologous or allogeneic limbal stem cell grafts where the primary surgical intent is the restoration of the corneal limbus.

Common Pitfalls

  • Attempting to bill E117 in conjunction with E124 will result in an automatic rejection, as they are mutually exclusive.
  • Failing to account for the included assistant and anaesthesia units, which are already bundled into the $740.00 fee, leads to incorrect billing of additional surgical assist or anaesthesia premiums.

Billing Tips

  • Ensure the claim includes the appropriate age premium if the patient is under 16 years of age, as these are eligible add-ons to the base E124 fee.
Provider Fee$740.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92

Effective: April 1, 2025

Category

Y. Ocular and Aural Surgical Procedures

Subcategory

OCULAR SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Ocular and Aural Surgical Procedures

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