All codes
E936
E936 – Vitrectomy, pars plana, for vitreous haemorrhage, with or without endolaser, per eye
OHIP Surgical Assists Code — OCULAR AND AURAL SURGICAL PROCEDURES · Schedule of Benefits
Vitreous exchange (air, gas or artificial vitreous substance) to vitrectomy.
When to Use
- Use E936 as an add-on code when performing a vitreous exchange (air, gas, or silicone oil) during a primary vitrectomy procedure.
- Apply this code specifically when the clinical indication is a vitreous hemorrhage requiring surgical intervention.
Common Pitfalls
- Submitting E936 as a standalone procedure code will result in an automatic rejection; it must be billed in conjunction with a primary vitrectomy code.
- Billing E936 without clear documentation of the vitreous exchange performed during the primary surgery is a common audit trigger.
Billing Tips
- Ensure the primary vitrectomy code is listed first on the claim to establish the surgical context required for the E936 add-on.
Provider Fee$90.00
Specialist Fee$0.00
Surgical Assistant Fee$0.00
Anaesthetist Fee$0.00
Non-Anaesthetist Fee$0.00
Effective: April 1, 2025
Category
Y. Ocular and Aural Surgical Procedures
Subcategory
OCULAR AND AURAL SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Ocular and Aural Surgical Procedures
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