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E143
E143 – Excision of Secondary Membrane with Corneal Section Following Cataract Extraction
OHIP Surgical Assists Code — Crystalline Lens · Schedule of Benefits
Excision of secondary membrane with corneal section following cataract extraction. This procedure is listed under the Crystalline Lens subsection of Ocular and Aural Surgical Procedures. The fee for this service allows for a surgeon (suffix A), an assistant (suffix B), and an anaesthetist (suffix C), although anaesthesia services are typically billed using E023C.
When to Use
- Use E143 when performing a surgical excision of a secondary membrane (e.g., Soemmering's ring or dense fibrous capsule) that requires a formal corneal section, as opposed to a simple YAG laser capsulotomy.
- Select E143 for secondary membrane management when the procedure necessitates entry into the anterior chamber via a corneal incision, distinguishing it from less invasive procedures like E141.
Common Pitfalls
- Attempting to bill E003C for anaesthesia services is a common rejection error; E023C must be used instead for this procedure.
- Billing E143 in conjunction with other crystalline lens procedures without clear clinical justification for separate incisions often leads to audit scrutiny for unbundling.
- Claiming additional anaesthesia time units or extra units listed in the general surgery section is prohibited, as E023C provides the specific unit structure for this code.
Billing Tips
- Ensure the operative report explicitly details the corneal section, as this is the defining technical requirement that differentiates E143 from other membrane excision codes.
- Always verify the patient's age at the time of service to automatically apply the correct age premium (e.g., AGE_PREMIUM_LT_16Y), as these are essential for maximizing the procedural fee.
Provider Fee$450.00
Specialist Fee$0.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$77.45
Non-Anaesthetist Fee$77.45
Effective: April 1, 2025
Category
Ocular and Aural Surgical Procedures
Subcategory
Crystalline Lens
Service Type
Surgical
Code Classes
Ocular and Aural Surgical Procedures
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