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E175
E175 – Therapeutic paracentesis
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E175 when you perform a distinct therapeutic paracentesis to lower intraocular pressure immediately prior to an intravitreal injection (E186, E187, or E149).
- Use this code only when the paracentesis is performed at a separate site from the injection entry point to manage acute pressure spikes.
Common Pitfalls
- Billing E175 when the paracentesis is performed through the same entry site as the injection (E186, E187, or E149) will result in a rejection as it is considered part of the injection procedure.
- Submitting E175 on the same day as Z851 will trigger a rejection, as these codes are mutually exclusive for the same patient.
Billing Tips
- Ensure your operative note clearly distinguishes the paracentesis site from the injection site to justify the claim during a potential audit.
- Apply the appropriate age-based premium percentage to the E175 fee if the patient qualifies under the Schedule of Benefits criteria for surgical procedures.
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