E198 – Laceration, full thickness - including lid margin
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
The service E198 is for the surgical repair of a full-thickness eyelid laceration that involves the lid margin. The '#' prefix indicates that when performed in a hospital or Integrated Community Health Services Centre (ICHSC), facility costs (premises, equipment, supplies, and personnel) are funded separately and not included in the physician fee (). If the repair requires a skin graft, refer to the Plastic Surgery Procedures in the Integumentary System section (). This procedure includes anaesthesia services (7 base units) and may require a surgical assistant.
When to Use
- Use E198 for full-thickness eyelid lacerations that specifically involve the lid margin, requiring precise anatomical reconstruction.
- Use E198 for primary repair of traumatic lid margin defects; do not use for superficial skin-only lacerations which should be billed under standard integumentary repair codes.
Common Pitfalls
- Billing E198 when a skin graft is required; if a graft is necessary, you must bill under the Plastic Surgery Integumentary section (Y9) instead.
- Attempting to bill E198 for partial-thickness lacerations that do not involve the lid margin, which would be an incorrect use of this specific code.
- Failing to account for the '#' prefix when billing in a hospital setting, which confirms the fee is for the professional component only.
Billing Tips
- Ensure the operative report explicitly documents the involvement of the lid margin to support the use of E198 over less complex repair codes.
- If the procedure is performed after hours, ensure you correctly append the appropriate E409 or E410 premium to the E198 base fee.
Effective: April 1, 2026
Y. Ocular and Aural Surgical Procedures
OCULAR SURGICAL PROCEDURES
Surgical
Ocular and Aural Surgical Procedures
With skin graft - see Plastic Surgery Procedures - Integumentary System.
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