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E231
E231 – Medial canthal tendon repair
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Medial canthal tendon repair - tendon repair only
When to Use
- Use E231 when performing an isolated repair of a disrupted medial canthal tendon following trauma or dehiscence.
- Use E231 as the primary procedure when the surgical focus is strictly the tendon repair, distinct from eyelid reconstruction or blepharoplasty.
Common Pitfalls
- Claiming E231 alongside E140 or E141 will result in an automatic rejection due to same-day billing restrictions.
- Attempting to bill E231 for cosmetic blepharoplasty without Ministry of Health prior approval will lead to audit recovery, as E231 is not a substitute for cosmetic eyelid procedures.
Billing Tips
- If performing a secondary procedure in the same operative field, ensure you append E233 to capture the additional value rather than attempting to bill E231 twice.
Provider Fee$267.35
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
Urogenital and Urinary Surgical Procedures
Blepharoplasty is only insured in those circumstances described in the Appendix D - prior approval of the Ministry of Health is required.
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