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E190

E190Tarsorrhaphy

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

Tarsorrhaphy is a surgical procedure for the suture of the eyelid. The anaesthesia component of this service (billed with suffix C) is calculated using 6 base units plus time units as defined on .

When to Use

  • Use E190 for the surgical repair of eyelid margins, such as in cases of severe lagophthalmos or exposure keratopathy.
  • Select E190 when performing a temporary or permanent tarsorrhaphy to protect the ocular surface, distinguishing it from more complex lid reconstructions.

Common Pitfalls

  • Billing E190 alongside E191 (Canthoplasty) without clear documentation of separate, distinct surgical sites or procedures, which may trigger a rejection for unbundling.
  • Failing to include the appropriate age premium (e.g., AGE_PREMIUM_5Y_16Y) when performing this procedure on pediatric patients, resulting in underpayment.

Billing Tips

  • If the procedure is performed on an emergency basis after hours, ensure you append the E409 or E410 premium to the E190 fee to capture the procedural uplift.
Provider Fee$241.05
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

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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