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E983

E983Glaucoma filtering procedure - following previous glaucoma filtering procedure

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

This is a percentage-based premium of 25% that is added to the fee for E132 (Glaucoma filtering procedures). This premium is applicable when the current glaucoma filtering procedure is performed following a previous glaucoma filtering procedure on the same eye.

When to Use

  • Use E983 when performing a repeat trabeculectomy (E132) on an eye that has previously undergone a glaucoma filtering procedure.
  • Apply this code when performing a revision or secondary filtering procedure on an eye where the initial E132 procedure failed to maintain adequate intraocular pressure control.

Common Pitfalls

  • Billing E983 without a corresponding E132 claim, as E983 is a percentage-based premium that requires the base procedure to be present on the same claim.
  • Applying E983 to procedures that are not classified under E132, such as valve implants or other non-filtering glaucoma surgeries.
  • Failing to document the history of the previous filtering procedure in the patient record, which is essential for audit justification of the 25% premium.

Billing Tips

  • Ensure E983 is submitted on the same claim as E132 to trigger the 25% increase on the base fee automatically.
  • If the procedure is performed on both eyes, ensure the previous surgery history is clearly documented for each eye individually to support the premium for each side.

Percentage Premium: 0.25%

This code applies a percentage increase to the base procedure fee

Provider Fee$0.01
Specialist Fee$0.00
Surgical Assistant Fee$0.00
Anaesthetist Fee$0.00
Non-Anaesthetist Fee$0.00

Effective: December 1, 2013

Category

Y. Ocular and Aural Surgical Procedures

Subcategory

OCULAR AND AURAL SURGICAL PROCEDURES

Service Type

PercentageIncrease

Code Classes

Ocular and Aural Surgical Procedures

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