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E199
E199 – Laceration, full thickness
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Surgical repair of a full thickness laceration of the eyelid. This procedure is distinct from E198, which applies when the laceration involves the lid margin.
When to Use
- Use E199 for full-thickness eyelid lacerations that are confined to the eyelid tissue and do not involve the lid margin or canalicular system.
- Use E199 when the repair requires layered closure of the eyelid, distinguishing it from simple superficial skin lacerations that would be billed under minor surgery codes.
Common Pitfalls
- Billing E199 when the lid margin is involved; this is a common audit trigger as E198 must be used for any margin involvement.
- Submitting E199 for superficial lacerations that do not penetrate the full thickness of the eyelid, which should be billed under standard minor laceration repair codes.
- Failing to document the depth and location of the laceration, which is essential to justify the use of E199 over simpler repair codes during a post-payment review.
Billing Tips
- Ensure the operative report explicitly states that the laceration was 'full thickness' and 'not involving the lid margin' to support the use of E199.
- If the repair involves a skin graft, do not use E199; instead, refer to the Plastic Surgery section of the Schedule of Benefits for appropriate integumentary system codes.
Provider Fee$452.65
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
With skin graft - see Plastic Surgery Procedures - Integumentary System.
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