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E954
E954 – Lacrimal bypass procedure or canalicular reconstruction
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Payable as an addition to the fee for E218 (Dacryocystorhinostomy) when a lacrimal bypass procedure, such as a Lester Jones tube insertion, or a canalicular reconstruction is performed during the same operative session. This code represents the additional work and complexity involved in these specific reconstructive steps.
When to Use
- Use E954 when performing a Lester Jones tube insertion as part of a dacryocystorhinostomy (E218) to manage severe canalicular obstruction.
- Use E954 when conducting a formal canalicular reconstruction or bypass procedure during the same operative session as a DCR (E218).
Common Pitfalls
- Billing E954 as a standalone procedure; it is strictly an add-on code and will be rejected if not submitted on the same claim as E218.
- Confusing E954 with standard lacrimal intubation; E954 is specifically for bypass or reconstruction, not routine stent placement.
Billing Tips
- Ensure the operative report explicitly details the bypass or reconstruction technique to justify the additional complexity beyond the standard E218 procedure.
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