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E163

E163Dermis fat graft - delayed

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

`E163` is a surgical procedure under the Ocular and Aural Surgical Procedures section, specifically for the reconstruction of the orbit. It involves the use of a dermis fat graft in a delayed fashion, meaning not immediately following an enucleation or other primary procedure.

When to Use

  • Use for secondary orbital reconstruction where a dermis fat graft is harvested and placed in a socket that was enucleated or eviscerated during a previous, separate surgical encounter.
  • Use when performing a delayed socket volume augmentation to address enophthalmos or superior sulcus deformity in a patient with a pre-existing anophthalmic socket.

Common Pitfalls

  • Billing E163 in conjunction with a primary enucleation or evisceration procedure; E163 is strictly for delayed, secondary procedures.
  • Failing to distinguish this from orbital floor fracture repairs or other reconstructive codes; ensure the procedure specifically involves the transfer of a dermis fat graft to the orbit.

Billing Tips

  • Ensure the operative report clearly describes the harvesting of the dermis fat graft and its placement as a secondary procedure to justify the 'delayed' designation.
Provider Fee$514.80
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43

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

Repair - for E173 and E174 see Skull and Mandible - Musculoskeletal System.

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