All codes
E222
E222 – Primary closure of full thickness lid defect
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Primary closure of full thickness lid defect
When to Use
- Use E222 when performing a direct primary closure of a full-thickness eyelid defect following a wedge excision or traumatic laceration.
- Select E222 for simple full-thickness repairs that do not require complex reconstruction or flap advancement beyond the scope of the primary closure.
Common Pitfalls
- Billing E222 alongside E942 or E943 without documenting the specific additional maneuvers of cantholysis or rotation flaps will trigger audit scrutiny.
- Attempting to bill E222 for partial-thickness skin excisions that do not involve the full tarsoconjunctival layer is a common cause of claim rejection.
Billing Tips
- Always append E977 to your E222 claim if the procedure is performed in a hospital setting involving frozen section analysis for tumor-free margins to secure the 25% premium.
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