All codes
E138
E138 – Scleral fixation of artificial intraocular lens and/or sutured capsular tension device
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Fixation of intraocular lens and/or capsular tension device by suturing. This is a surgical procedure listed under the Crystalline Lens section.
When to Use
- Use E138 specifically for the secondary fixation of an intraocular lens (IOL) to the sclera when the capsular bag is insufficient for standard placement.
- Use this code when suturing a capsular tension device to the sclera to stabilize a subluxated crystalline lens or IOL during complex cataract surgery.
Common Pitfalls
- Do not bill E138 in conjunction with E003C, as this combination is explicitly restricted by the Schedule of Benefits.
- Avoid billing E138 for standard phacoemulsification or routine IOL implantation, as it is intended for complex cases requiring scleral fixation or specialized tension devices.
Billing Tips
- Ensure the operative report clearly details the scleral fixation technique or the use of the sutured capsular tension device to justify the use of this specific code over standard lens surgery codes.
- If the procedure is performed on an emergency basis after hours, ensure the claim includes the appropriate E409 or E410 premium to maximize the procedural fee.
Provider Fee$450.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$77.45
Non-Anaesthetist Fee$77.45
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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