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E191
E191 – Double adhesion
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for double adhesion of the eyelid. Anaesthesia is billable with 7 base units plus time units.
When to Use
- Use E191 when performing a formal surgical repair of double adhesion (symblepharon) involving both the bulbar and palpebral conjunctiva.
- Select E191 over minor lid procedures like E192 or E193 when the surgical intent is specifically the lysis or reconstruction of double adhesions.
Common Pitfalls
- Billing E191 alongside other eyelid procedures without clear documentation of separate surgical sites or distinct pathology will trigger a rejection for unbundling.
- Failure to include the required anaesthesia time units or the correct base units (7) will result in an automatic claim adjustment or rejection.
Billing Tips
- Ensure the operative report explicitly describes the double adhesion to justify the higher fee compared to single adhesion codes, as auditors look for evidence of the dual-plane involvement.
Provider Fee$306.35
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
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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