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E224
E224 – Tarsoconjunctival flap and skin graft - second stage
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
This code represents the second stage of the Tarsoconjunctival flap and skin graft (Hughes) procedure (E223).
When to Use
- Use E224 only after the initial tarsoconjunctival flap has successfully vascularized, typically 6 to 8 weeks following the E223 procedure.
- Bill this code specifically for the surgical division of the pedicle flap and the subsequent reconstruction of the eyelid margin.
Common Pitfalls
- Attempting to bill E224 on the same day as E223 will trigger an automatic rejection as the second stage requires a distinct healing interval.
- Failing to document the specific interval between E223 and E224 can lead to audit scrutiny regarding the necessity of the staged approach.
Billing Tips
- Ensure the operative report for E224 clearly references the date of the original E223 procedure to justify the staged surgical plan.
Provider Fee$108.45
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
Procedure
Code Classes
Diagnostic and Therapeutic Procedures
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