What is OHIP billing code E056?

E056 is "Tendon transposition/transplantation/transfer - each additional", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E056 pay?

The current OHIP fee for E056 is $91.90, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill E056 to OHIP?

E056 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E056 claims against the Schedule of Benefits rules before submission.

What codes are related to E056?

Codes related to E056 in the Schedule of Benefits include R563.

All codes

E056

E056 – Tendon transposition/transplantation/transfer - each additional

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

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This fee code is used for each additional tendon transposition, transplantation, or transfer performed during the same surgical session as the primary procedure, `R563. R563` covers the first (single) tendon, and E056 is billed for each subsequent tendon.

When to Use

Use E056 for each additional tendon transfer beyond the first, which is always billed as R563.
Apply E056 when performing multi-tendon reconstructive procedures, such as complex foot or hand tendon transfers, where more than one tendon is independently transposed.

Common Pitfalls

Billing E056 as a standalone code without R563 will result in automatic rejection, as it is strictly an add-on code.
Attempting to bill E056 for multiple tendons in a single anatomical site that is already covered by the scope of R563; ensure each E056 unit represents a distinct, additional tendon transfer.
Incorrectly adding surgical assistant or anaesthesia units to E056, as these must only be calculated based on the primary R563 procedure.

Billing Tips

Ensure the operative report explicitly lists the number of tendons transferred to justify the quantity of E056 units claimed alongside R563.
If performing after-hours or trauma surgery, apply the relevant percentage premiums (E409, E410, or E420) to the total fee of both R563 and the cumulative E056 units.

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Provider Fee$91.90

Effective: April 1, 2025

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