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E944

E944Free posterior lamellar graft

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

This code describes the addition of a free posterior lamellar graft when performed in conjunction with a temporal rotation flap (E227).

When to Use

  • Use E944 only when performing a free posterior lamellar graft specifically to reconstruct the eyelid margin or posterior lamella during a temporal rotation flap procedure (E227).
  • Apply this code when the surgical plan necessitates a composite graft to support the eyelid structure while closing a defect created by the primary E227 flap.

Common Pitfalls

  • Billing E944 as a standalone procedure will result in automatic rejection, as it is strictly an add-on code that requires the presence of E227 on the same claim.
  • Attempting to bill E944 for a simple primary closure or a non-lamellar graft will trigger audit flags for inappropriate code utilization.

Billing Tips

  • Ensure both E227 and E944 are submitted on the same claim to satisfy the mandatory pairing requirement for the Ontario Health Insurance Plan.
Provider Fee$175.15

Effective: April 1, 2025

Category

Y. Ocular and Aural Surgical Procedures

Subcategory

OCULAR SURGICAL PROCEDURES

Service Type

Surgical Procedure

Code Classes

Consultations

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