What is OHIP billing code E180?

E180 is "Alloplastic volume replacement", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E180 pay?

The current OHIP fee for E180 is $411.20, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill E180 to OHIP?

E180 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E180 claims against the Schedule of Benefits rules before submission.

All codes

E180

E180 – Alloplastic volume replacement

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

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Alloplastic volume replacement is a surgical reconstruction procedure of the orbit, listed under the 'Ocular and Aural Surgical Procedures' section of the OHIP Schedule of Benefits. It involves the use of synthetic materials to restore volume within the orbital cavity, for example, after trauma or enucleation.

When to Use

Use E180 when inserting an orbital implant (e.g., hydroxyapatite or porous polyethylene) immediately following an enucleation or evisceration procedure.
Use E180 for secondary orbital volume restoration in patients with an existing anophthalmic socket that requires volume augmentation to improve prosthesis motility or appearance.

Common Pitfalls

Billing E180 as a primary procedure when it is actually an integral component of a more comprehensive orbital reconstruction code; ensure the procedure is distinct and not bundled.
Attempting to bill for a surgical assistant (suffix B) without prior authorization from a medical consultant, as this code requires a letter of justification to be submitted via M400B.
Failing to document the specific type of alloplastic material used, which is a common trigger for audit inquiries regarding the necessity of the procedure.

Billing Tips

If an assistant is required, you must submit the claim under M400B with a supporting letter to the Ministry to secure payment, as standard surgical assistant billing is not automatically approved for this code.
Ensure the anaesthesia units are calculated using the 7 basic units defined for E180, and verify that any additional time units are accurately recorded to maximize the anaesthetic fee.

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Provider Fee$411.20

Anaesthetist Fee$108.43

Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

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