What is OHIP billing code E877?

E877 is "Repeat strabismus procedure", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E877 pay?

E877 is a percentage premium: it adds 30% to the fee of the eligible service it is billed with, per the Ontario Schedule of Benefits.

How do I bill E877 to OHIP?

E877 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E877 claims against the Schedule of Benefits rules before submission.

What codes are related to E877?

Codes related to E877 in the Schedule of Benefits include E182, E183, E184, E185.

All codes

E877

E877 – Repeat strabismus procedure

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

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This is a percentage-based premium that increases the amount payable for a repeat strabismus surgical procedure. It is applicable to codes E185 (horizontal or vertical rectus muscle), E184 (inferior oblique muscle), E183 (superior oblique muscle), or E182 (transposition of extraocular muscle).

When to Use

Use E877 when performing a re-operation on the same muscle(s) previously addressed in a prior strabismus surgery to account for the increased technical complexity of scar tissue dissection.
Apply this code when performing a secondary procedure on a patient who has undergone a previous strabismus correction, regardless of whether the initial surgery was performed by you or another surgeon.

Common Pitfalls

Do not bill E877 for a primary strabismus procedure; it is strictly reserved for repeat operations on previously operated muscles.
Avoid submitting E877 if the surgical site is different from the one addressed in the previous procedure, as the premium specifically applies to the repeat intervention on the same muscle group.
Ensure the total number of primary procedure codes (E182, E183, E184, E185) does not exceed four per patient per day, as exceeding this limit will trigger automatic rejections.

Billing Tips

Always link E877 directly to the specific primary procedure code (E182-E185) on the claim to ensure the percentage increase is calculated correctly against the base fee.
Maintain clear operative notes detailing the presence of adhesions or scar tissue from the prior surgery to justify the use of the repeat procedure premium during a potential audit.

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Percentage Premium: 0.3%

This code applies a percentage increase to the base procedure fee

Provider Fee$0.01

Effective: April 1, 2023

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