All codes
E130
E130 – Iridectomy - surgical - when sole procedure
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
An iridectomy is the surgical removal of a piece of the iris tissue. This fee code, E130, applies when the iridectomy is performed as a standalone surgical procedure. The fee for surgical assistance is based on 6 base units plus time units, and the fee for anaesthesia is based on 6 base units plus time units, as detailed in the General Preamble (, ).
When to Use
- Use E130 when performing a peripheral iridectomy as the sole surgical procedure to treat acute angle-closure glaucoma.
- Use E130 for a surgical iridectomy performed as an isolated procedure during cataract surgery if the primary cataract code does not include the iridectomy in its description.
Common Pitfalls
- Billing E130 in conjunction with other ocular procedures will result in automatic rejection, as it is strictly defined as a sole procedure code.
- Attempting to bill E130 when a laser iridotomy (E131) was actually performed will trigger an audit, as these are distinct procedural modalities.
Billing Tips
- Ensure the operative report explicitly states that no other surgical procedures were performed during the same session to justify the 'sole procedure' requirement.
Provider Fee$308.30
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category
Y. Ocular and Aural Surgical Procedures
Subcategory
OCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Ocular and Aural Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.