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E193
E193 – Ptosis - repeat or second repair
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
This service covers a surgical procedure for the repair of ptosis (drooping eyelid) when it is performed as a repeat or second repair. This indicates a subsequent intervention for a previously treated ptosis condition.
When to Use
- Use E193 when performing a revision ptosis repair on a patient who has previously undergone a primary ptosis correction, regardless of whether the initial surgery was performed by you or another surgeon.
- Select E193 instead of E192 when the operative report clearly identifies the procedure as a secondary or repeat intervention to address residual or recurrent ptosis.
Common Pitfalls
- Billing E193 for a primary ptosis repair is a common audit trigger; ensure the patient history confirms a prior surgical procedure to avoid recovery of funds.
- Failing to document the specific nature of the revision (e.g., adjustment of levator advancement or resection) can lead to claims being flagged as potentially miscoded primary procedures.
Billing Tips
- Always reference the date or approximate timeframe of the original ptosis surgery in your operative report to justify the use of the repeat repair code E193 over the primary E192 code.
Provider Fee$670.40
Surgical Assistant Fee$77.46
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
Surgical
With skin graft - see Plastic Surgery Procedures - Integumentary System.
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