E217 – Lacerated canaliculus - delayed repair
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Delayed repair of a lacerated canaliculus. This is a surgical procedure performed on the lacrimal tract. The fee for the surgeon (suffix A) is a flat rate. The fee for an assistant (suffix B) is based on 6 base units plus time units. The fee for an anaesthetist (suffix C) is based on 6 base units plus time units.
When to Use
- Use E217 when performing a formal surgical repair of a canalicular laceration that occurs after the acute phase, typically requiring specialized instrumentation or stenting.
- Select E217 instead of E215 or E216 when the procedure is specifically classified as a delayed repair rather than an immediate primary closure.
Common Pitfalls
- Billing E217 in conjunction with E215 or E216 for the same anatomical site is considered unbundling and will result in a rejection.
- Failure to document the 'delayed' nature of the repair in the operative report is a common audit trigger, as the distinction between primary and delayed repair is strictly defined by the clinical timeline.
Billing Tips
- Ensure the operative report clearly details the complexity of the delayed repair, such as the identification and retrieval of retracted canalicular ends, to justify the higher fee compared to primary repair codes.
Effective: April 1, 2026
Y. Ocular and Aural Surgical Procedures
OCULAR SURGICAL PROCEDURES
Surgical
Ocular and Aural Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
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