All codes
E223
E223 – Tarsoconjunctival flap and skin graft (Hughes)
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Tarsoconjunctival flap and skin graft (Hughes)
When to Use
- Use E223 for the primary reconstruction stage of a large lower eyelid defect requiring a Hughes tarsoconjunctival flap to restore the posterior lamella.
- Select this code when performing the first stage of a two-stage eyelid reconstruction where the flap is harvested from the upper eyelid and sutured to the lower eyelid defect.
Common Pitfalls
- Billing E223 alongside other eyelid repair codes like E221 or E222 is often flagged as unbundling if the work is considered part of the comprehensive flap procedure.
- Failing to include the E977 add-on code when the procedure is performed in a hospital setting for a tumour excision with frozen section results in a significant loss of the 25% premium.
Billing Tips
- Always append the E977 add-on code to E223 when operating in a hospital for malignancy to capture the 25% fee increase for frozen section margin control.
Provider Fee$484.35
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
Y. Ocular and Aural Surgical Procedures
Subcategory
OCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Surgical Assistants' Services, Anaesthesiologists' Services, Diagnostic and Therapeutic Procedures
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