All codes
E053
E053 – Tendon transfer foot and ankle - each additional
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This code is used for each additional tendon graft performed on the foot or ankle. It is intended to be billed as an add-on to the primary procedure, R560A (Tendon Graft - foot and ankle), for each subsequent graft performed during the same operation.
When to Use
- Use E053 for every additional tendon graft performed beyond the first graft, which is billed under the primary code R560A.
- Apply this code when performing multi-tendon transfers in a single operative session where each subsequent transfer requires a distinct graft procedure.
Common Pitfalls
- Billing E053 as a standalone procedure without the primary R560A code will result in an automatic rejection.
- Attempting to use E053 for the first tendon graft instead of R560A is a common error that leads to claim adjustment or denial.
- Failure to clearly document the number of distinct grafts performed can lead to recovery during an audit if the claim exceeds the expected number of procedures.
Billing Tips
- Ensure the total number of E053 units billed corresponds exactly to the number of additional grafts performed beyond the initial R560A procedure.
Provider Fee$94.60
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.