What is OHIP billing code E142?

E142 is "Preretinal membrane peeling or segmentation", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E142 pay?

The current OHIP fee for E142 is $920.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill E142 to OHIP?

E142 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E142 claims against the Schedule of Benefits rules before submission.

What codes are related to E142?

Codes related to E142 in the Schedule of Benefits include E940, E148, E186, E187, E149, E175, E936, E938.

All codes

E142

E142 – Preretinal membrane peeling or segmentation

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

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Preretinal membrane peeling or segmentation is a surgical procedure for the eye. The service explicitly includes vitrectomy, complete and by posterior approach, with vitreous exchange (air, gas, or artificial vitreous substance) as constituent elements. It is listed under Vitreous procedures in the Ocular and Aural Surgical Procedures section of the Schedule.

When to Use

Use E142 for the surgical peeling of an epiretinal membrane (ERM) or internal limiting membrane (ILM) where a complete pars plana vitrectomy is the primary surgical approach.
Use E142 when performing membrane segmentation or peeling in conjunction with a vitreous exchange using air, gas, or silicone oil, as these elements are included in the fee.

Common Pitfalls

Do not bill E154 (pan-retinal laser) alongside E142 unless extensive laser is required for distinct underlying pathology and both procedures are clearly documented as separate, non-overlapping surgical events.
Avoid billing E141 (fragmatome) unless the removal of lens fragments specifically requires the use of a separate fragmatome instrument, as standard vitrectomy instrumentation is already included in E142.
Billing E151 (retinal detachment laser) is only permitted if the laser is performed specifically to treat a retinal detachment with subretinal fluid in the same session as the vitrectomy.

Billing Tips

Ensure the operative report explicitly details the membrane peeling or segmentation steps, as these are the defining clinical components that justify the E142 fee over a standard vitrectomy code.
If performing complex trauma-related surgery, ensure the Injury Severity Score (ISS) is documented in the chart to support the addition of the E420 trauma premium.

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Provider Fee$920.00

Surgical Assistant Fee$77.46

Anaesthetist Fee$95.76

Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

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