All codes
T261
T261 – T261
OHIP Other Code · Schedule of Benefits
When to Use
- Use T261 for the primary repair of a full-thickness laceration of the eyelid involving the eyelid margin, which requires meticulous layered reconstruction to prevent notch deformity.
- Select T261 when the repair involves the tarsus and conjunctiva, distinguishing it from simple superficial skin closures billed under minor laceration codes like G271.
Common Pitfalls
- Billing T261 in conjunction with G271 for the same eyelid is considered unbundling, as the minor repair is inclusive to the complex eyelid margin reconstruction.
- Submitting T261 for a simple skin-only laceration that does not involve the eyelid margin or tarsal plate will result in a rejection or audit recovery, as these should be billed as minor lacerations.
Billing Tips
- Ensure the operative report explicitly describes the involvement of the eyelid margin and the specific layers repaired to justify the T261 fee over lower-valued laceration codes.
Provider Fee$247.53
Specialist Fee$247.53
Effective: February 1, 2011
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.