E050 – Tenoplasty - each additional
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
The full description details applications across various anatomical regions (Elbow/Forearm, Femur, Knee, Foot and Ankle) and primary codes (R557, R584). However, explicit listings for E050 in these contexts were not found on the referenced pages , , , . Only the general 'Tenoplasty - each additional' with R557 (Hand and Wrist) was found on .
When to Use
- Use E050 when performing a tenoplasty on a second or subsequent tendon during the same surgical session as a primary procedure like R557.
- Apply E050 when lengthening or shortening multiple tendons in the foot or ankle during a single operative encounter where the primary procedure code covers only the first tendon.
- Use E050 for secondary tendon repairs in the elbow or forearm when the primary code (e.g., R584) is already claimed for the initial tendon repair.
Common Pitfalls
- Billing E050 as a standalone procedure will result in an automatic rejection, as it is strictly an add-on code requiring a primary musculoskeletal procedure.
- Attempting to claim anaesthesia (C suffix) or surgical assistant (B suffix) units for E050 is invalid because the code carries no assigned units for these roles.
- Failing to link E050 to the primary procedure code on the same claim record can lead to payment denials or audit flags.
Billing Tips
- Ensure the primary procedure code (e.g., R557 or R584) is billed at 100% and E050 is appended to the same claim to trigger the correct add-on payment logic.
- When multiple additional tendons are repaired, ensure the number of units for E050 correctly reflects the count of additional tendons beyond the primary one.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
Listed as 'each additional' under Tenoplasty (Elbow/Forearm, Knee), Lengthening of hamstrings (Femur), and Lengthening or shortening (Foot and Ankle).
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