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E181
E181 – Secondary orbital implant
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Secondary orbital implant is a surgical procedure for the placement of an orbital implant as a secondary procedure, typically following a prior enucleation or evisceration.
When to Use
- Use E181 for the delayed insertion of an orbital implant following a previous enucleation or evisceration where the implant was not placed at the time of the initial surgery.
- Use E181 when replacing a migrated or extruded orbital implant that requires a secondary surgical procedure to secure a new implant.
Common Pitfalls
- Do not bill E181 for the primary placement of an implant during an enucleation or evisceration; those procedures include the implant placement in their respective fee codes.
- Avoid billing E181 for minor revisions or adjustments to the ocular prosthesis (the artificial eye itself), as this code is strictly for the surgical placement of the orbital implant.
Billing Tips
- Ensure the operative report clearly distinguishes the secondary nature of the procedure to avoid confusion with primary enucleation codes during potential OHIP audits.
Provider Fee$640.00
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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