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E182
E182 – Transposition of extraocular muscle to treat paretic or lost, damaged eye muscle
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Transposition of an extraocular muscle to treat paretic or lost, damaged eye muscle. This is a strabismus repair procedure listed under Ocular and Aural Surgical Procedures. Payment is limited to a maximum of 4 of any combination of strabismus procedures (E182, E183, E184, E185) per patient per day. An add-on premium (E877) is payable for a repeat procedure.
When to Use
- Use E182 specifically for transposition procedures (e.g., Hummelsheim or Jensen procedures) to address paretic or lost extraocular muscles.
- Select E182 when the primary surgical intent is the relocation of muscle insertions to improve ocular alignment in cases of complex strabismus where standard recession or resection (E183, E184) is insufficient.
Common Pitfalls
- Exceeding the maximum of 4 strabismus procedures per patient per day across the E182-E185 range will trigger automatic claim rejection.
- Failing to append E877 when performing a repeat transposition on a previously operated muscle, which results in significant underpayment.
- Billing E182 in conjunction with other strabismus codes without clear documentation of distinct muscle involvement, which may trigger audit reviews for unbundling.
Billing Tips
- Always add the E949 flat fee if an adjustable suture technique is utilized during the E182 procedure, as this is a separate billable item on the same day.
- Ensure the age-based premium (e.g., AGE_PREMIUM_5Y_16Y) is applied to the base fee of E182, as these are calculated as a percentage increase on the surgical procedure fee.
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