E195 – Trichiasis, repair by tarsal transplantation
OHIP Surgical Assists Code — OCULAR AND AURAL SURGICAL PROCEDURES · Schedule of Benefits
E195 is for the surgical repair of trichiasis, a condition where eyelashes grow inward toward the eye. This repair is performed using a tarsal transplantation technique. The '#' prefix indicates that for this service, the premises, equipment, supplies, and personnel are funded by the hospital global budget when performed in a hospital, or through facility costs when performed in an Integrated Community Health Services Centre (ICHSC), as described on page .
When to Use
- Use E195 specifically for the surgical correction of trichiasis involving a tarsal transplantation technique to reposition the eyelid margin.
- Choose E195 when the procedure is limited to the tarsal graft repair, as opposed to simple epilation or electrolysis (Z860) or more extensive lid reconstruction (see Plastic Surgery section).
Common Pitfalls
- Billing E195 in conjunction with other eyelid procedures on the same lid without checking for Schedule of Benefits rules regarding multiple procedure discounts.
- Failing to document the specific tarsal transplantation technique, which is a requirement to justify the fee for E195 over less complex lid procedures.
Billing Tips
- Ensure the procedure is documented as a tarsal transplantation to distinguish it from simpler lid margin repairs, as auditors specifically look for the graft component to validate this code.
Effective: April 1, 2025
Y. Ocular and Aural Surgical Procedures
OCULAR AND AURAL SURGICAL PROCEDURES
Surgical
Ocular and Aural Surgical Procedures
With skin graft - see Plastic Surgery Procedures - Integumentary System.
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