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E227
E227 – Temporal rotation flap
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Temporal rotation flap
When to Use
- Use E227 when performing a reconstructive temporal rotation flap specifically for eyelid defects following tumor excision or trauma.
- Select E227 instead of general plastic surgery codes when the procedure is limited to the ocular/periocular region as defined in the Ocular and Aural Surgical Procedures section.
Common Pitfalls
- Billing E227 in conjunction with other eyelid reconstruction codes (like E944) without ensuring the specific add-on criteria are met, leading to claim rejection.
- Failing to append the E977 premium when the procedure involves a hospital-based excision for tumor-free margins with frozen section analysis.
Billing Tips
- Ensure the surgical report explicitly describes the rotation of the temporal flap to justify the E227 fee over simpler graft or closure codes.
- Always verify if the procedure qualifies for the 25% E977 premium, as this is a common oversight for ophthalmologists performing oncologic eyelid reconstruction.
Provider Fee$514.80
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
Procedure
Code Classes
Ocular and Aural Surgical Procedures, Diagnostic and Therapeutic Procedures
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