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E049
E049 – Tendon or muscle transfer - each additional
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on code payable in addition to R571 for each additional tendon or muscle transfer performed during the same operative session. It is applicable for procedures on the femur (as per page ).
When to Use
- Use E049 when performing a secondary tendon or muscle transfer on the femur in the same operative session as the primary R571 procedure.
- Apply this code for each additional distinct transfer site beyond the first, ensuring each is clearly documented as a separate anatomical transfer.
Common Pitfalls
- Billing E049 as a standalone code without an associated R571 will result in an automatic rejection.
- Attempting to use E049 for procedures outside the femur or for non-transfer musculoskeletal work will trigger an audit for incorrect code application.
- Claiming E049 for multiple steps within a single transfer procedure rather than for distinct, separate muscle/tendon transfers is a common billing error.
Billing Tips
- Ensure the operative report explicitly details the number of distinct transfers performed to justify the quantity of E049 units claimed alongside R571.
Provider Fee$87.20
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Musculoskeletal System Surgical Procedures
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