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E151
E151 – Re-attachment of retina and choroid by diathermy, photocoagulation or cryopexy as an initial procedure
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
This service covers the initial surgical procedure for re-attaching the retina and choroid. The re-attachment is achieved through methods including diathermy (heat), photocoagulation (laser), or cryopexy (freezing).
When to Use
- Use E151 for the initial surgical intervention to re-attach the retina and choroid via cryopexy, photocoagulation, or diathermy.
- Select E151 when the procedure is performed as the primary surgical event, distinguishing it from subsequent or secondary procedures like E152 or E153.
Common Pitfalls
- Billing E151 in conjunction with other retinal repair codes (e.g., E152 or E153) on the same day will trigger a rejection for duplicate or overlapping services.
- Failure to specify the surgical approach in the operative report can lead to audit scrutiny, as E151 is strictly for the initial re-attachment procedure.
Billing Tips
- Ensure the claim includes the appropriate after-hours premium (E409 or E410) if the procedure meets the non-elective criteria and starts outside standard hours.
- If the patient is under 16, always append the age premium to maximize the procedural fee, as E151 is eligible for this adjustment.
Provider Fee$282.65
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
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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