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E213
E213 – Bleb repair with conjunctival, scleral or mucous membrane graft
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Bleb repair with conjunctival, scleral or mucous membrane graft is a surgical procedure listed under the Ocular and Aural Surgical Procedures section. It is performed to repair a leaking or failing filtering bleb, which is often created during a previous glaucoma surgery, by using a graft of conjunctiva, sclera, or mucous membrane.
When to Use
- Use E213 when performing a formal surgical repair of a leaking or failing glaucoma filtering bleb that necessitates the use of a conjunctival, scleral, or mucous membrane graft.
- Select E213 for bleb revisions where the primary intent is to restore integrity to the filtration site using patch graft material, distinguishing it from simple bleb needling or revision without grafting.
Common Pitfalls
- Billing E213 for simple bleb needling or minor revision procedures that do not involve the application of a graft; these should be billed under appropriate minor procedure codes.
- Failure to document the specific type of graft material used (conjunctival, scleral, or mucous membrane), which is a requirement for the validity of the E213 claim.
Billing Tips
- Ensure the operative report explicitly details the graft harvesting or application process to support the use of E213 over less intensive bleb revision codes.
Provider Fee$262.50
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
Y. Ocular and Aural Surgical Procedures
Subcategory
OCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Ocular and Aural Surgical Procedures
Referral RequiredFrom: Physician, NursePractitioner, DentalSurgeon
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