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E233

E233Medial canthal tendon - when done in conjunction with another procedure

OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits

Medial canthal tendon - when done in conjunction with another procedure

When to Use

  • Use E233 when performing a medial canthal tendon repair or reconstruction specifically as an add-on procedure during a more extensive oculoplastic surgery.
  • Select E233 when the primary procedure is a different ocular surgical code, such as an eyelid reconstruction or lacrimal system surgery, and the tendon repair is performed through the same or a separate incision.

Common Pitfalls

  • Billing E233 as a standalone procedure will result in rejection; it must be submitted with a primary surgical code to satisfy the 'in conjunction with' requirement.
  • Avoid billing E233 if the tendon work is considered an inherent part of the primary procedure's surgical approach, as this may be flagged as unbundling.

Billing Tips

  • Ensure the primary procedure code is listed first on the claim, followed by E233 with the appropriate 'add-on' modifier if required by your billing software to prevent automatic rejection.
Provider Fee$153.25

Effective: April 1, 2025

Category

Y. Ocular and Aural Surgical Procedures

Subcategory

OCULAR SURGICAL PROCEDURES

Service Type

Other

Code Classes

Diagnostic and Therapeutic Procedures

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