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E052

E052Tendon graft - each additional

OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Tendon graft - each additional

When to Use

  • Use E052 when performing multiple tendon grafts during a single operative session, billing R559 for the first graft and E052 for each subsequent graft.
  • Apply E052 when a complex reconstruction requires harvesting and grafting of multiple distinct tendons beyond the primary graft covered by R559.

Common Pitfalls

  • Billing E052 as a standalone procedure without an associated primary graft code like R559 will result in an automatic rejection.
  • Attempting to bill E052 for multiple segments of a single continuous tendon graft is incorrect; it is intended for distinct, separate graft procedures.

Billing Tips

  • Ensure the operative report clearly delineates each distinct tendon graft site to justify the quantity of E052 units claimed beyond the primary R559.
Provider Fee$324.35

Effective: April 1, 2026

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Other

Code Classes

Musculoskeletal System Surgical Procedures

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