E212 – Bleb repair with conjunctival pull-down
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
E212 is a surgical procedure for the repair of a glaucoma filtering bleb using a conjunctival pull-down technique. This procedure is typically performed to address complications such as leaks or failure of a bleb created during a prior glaucoma filtering surgery (e.g., E132). Billing: This service is eligible for billing with suffixes A (Surgeon), B (Assistant), and C (Anaesthetist). - Assistant Fee (Suffix B): The fee is calculated using 6 base units plus time units. Time is calculated in 15-minute increments. See . - Anaesthesia Fee (Suffix C): The fee is calculated using 6 base units plus time units. Time is calculated in 15-minute increments. See .
When to Use
- Use E212 specifically for the surgical revision of a leaking or failing glaucoma filtering bleb where a conjunctival advancement or pull-down is the primary technique.
- Use this code when addressing bleb-related complications post-trabeculectomy (E132) that require formal surgical closure rather than simple office-based suture placement.
Common Pitfalls
- Billing E212 in conjunction with other major glaucoma procedures on the same eye during the same operative session often triggers manual review or rejection due to global period rules.
- Failing to document the specific 'pull-down' technique in the operative report can lead to claim denials if the procedure is audited against more generic repair codes like E213 or E214.
Billing Tips
- Ensure the operative report clearly distinguishes E212 from simple bleb needling or revision, as the latter may not qualify for the full surgical fee associated with a formal conjunctival repair.
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