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E190
E190 – Tarsorrhaphy
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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