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E186 – Intravitreal injection of medication for the treatment of wet macular degeneration, left eye

OHIP Ocular and Aural Surgical Procedures Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits

This service is for the intravitreal injection of medication for the treatment of wet macular degeneration, specifically for the left eye. It is classified as an ocular surgical procedure. Payment is subject to a limit of 12 services per patient per 12-month period, with exceptions requiring clinical justification. Assistant services are not payable. Anaesthesia services for E186 are associated with fee code E023C. Time units and anaesthesia extra units listed on are not eligible for payment with anaesthesia services for E186C. E003C is not payable for anaesthesia services rendered for E186. The add-on code E175 for therapeutic paracentesis may be claimed if performed via a separate site.
For services in excess of 12 per 12-month period, the physician must document the appropriate clinical indications on the patient's permanent medical record.

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