E135 – Ciliary body re-attachment
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Ciliary body re-attachment is a surgical procedure performed on the eye. As a surgical service, it includes all specific elements of surgery such as preparation, the procedure itself, and immediate post-operative care as outlined in the Schedule of Benefits on and .
When to Use
- Use E135 specifically for the surgical re-attachment of a detached ciliary body, typically following trauma or previous ocular surgery.
- Distinguish from E131 (cyclodialysis) or E136 (ciliary body excision); E135 is strictly for the re-attachment procedure.
Common Pitfalls
- Billing E135 alongside other ocular procedures without checking the Schedule of Benefits for multiple procedure rules, which may trigger a reduction in the secondary procedure fee.
- Failing to document the specific surgical approach or the underlying pathology (e.g., traumatic vs. post-surgical) which is essential for audit justification of the procedure.
Billing Tips
- Ensure that if the procedure is performed after hours, you append the correct premium (E409 or E410) rather than attempting to bill a separate consultation or visit code for the same encounter.
- Verify that the surgical assistant and anaesthetist units are claimed based on the primary procedure code if multiple procedures are performed during the same session.
Effective: April 1, 2025
Y. Ocular and Aural Surgical Procedures
OCULAR SURGICAL PROCEDURES
Surgical
Ocular and Aural Surgical Procedures
All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
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