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E228
E228 – Free tarsal, scleral or cartilage graft with local skin mobilization
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Free tarsal, scleral or cartilage graft with local skin mobilization
When to Use
- Use E228 when performing a complex eyelid reconstruction that requires a structural graft (tarsal, scleral, or cartilage) combined with local skin flaps to achieve closure.
- Select E228 instead of simple eyelid repair codes like E227 when the defect size necessitates a rigid graft to maintain eyelid contour and prevent retraction.
Common Pitfalls
- Billing E228 alongside simple excision codes (e.g., E224) without documenting the specific graft type and the necessity of local skin mobilization will trigger manual review.
- Attempting to bill E228 for a graft that does not involve local skin mobilization is a common audit trigger; ensure the operative note clearly describes the flap advancement.
Billing Tips
- If performing the procedure in a hospital setting for tumor removal with frozen section, remember to append E977 to increase the fee by 25%.
Provider Fee$535.80
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
Procedure
Code Classes
Diagnostic and Therapeutic Procedures
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