All codes
E229
E229 – Free composite eyelid graft
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
The Schedule of Benefits lists E229 as a specific procedure titled 'Free composite eyelid graft', not an unlisted procedure. The description in the database is incorrect.
When to Use
- Use E229 when performing a full-thickness eyelid reconstruction that involves both anterior and posterior lamellae, such as a Hughes or Cutler-Beard flap reconstruction.
- Select E229 for complex eyelid defect repairs requiring a composite graft of skin, orbicularis, tarsus, and conjunctiva, rather than simple skin grafts coded under E227.
Common Pitfalls
- Billing E229 alongside simple excision codes like E225 is often flagged; ensure the operative note clearly delineates the complex graft reconstruction from the initial excision.
- Submitting E229 for a simple skin-only graft is an audit risk; use E227 for non-composite skin grafts to avoid recovery of funds.
Billing Tips
- Always append E977 to E229 when the procedure is performed in a hospital setting for tumour excision with frozen section control to secure the 25% premium.
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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