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E054
E054 – Transplant/transfer - each additional
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Transplant/transfer - each additional. This code is an add-on to R563 (Transplant/transfer - single).
When to Use
- Use E054 in conjunction with R563 when performing a second or subsequent bone or skin graft transfer during the same operative session.
- Apply this code when multiple distinct anatomical sites require grafting that necessitates separate harvesting or transfer procedures beyond the initial site covered by R563.
Common Pitfalls
- Billing E054 without an associated R563 claim will result in an automatic rejection as it is a strictly dependent add-on code.
- Attempting to bill E054 for multiple grafts at the same site that are considered part of the primary R563 procedure is a common cause of audit recovery.
- Failing to document the distinct nature of the additional graft site can lead to the claim being downgraded to a single procedure during a Ministry review.
Billing Tips
- Ensure the operative report clearly delineates the separate harvest or transfer sites to justify the use of the add-on code over the base R563 fee.
- Verify that the total number of E054 units billed corresponds exactly to the number of additional grafts performed beyond the first.
Provider Fee$311.60
Effective: April 1, 2026
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
AddOn
Code Classes
Diagnostic and Therapeutic Procedures
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