Question 1

What is OHIP billing code E057?

Accepted Answer

E057 is "Revision/repair following previous rotator cuff surgery", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does E057 pay?

Accepted Answer

E057 is a percentage premium: it adds 30% to the fee of the eligible service it is billed with, per the Ontario Schedule of Benefits.

Question 3

How do I bill E057 to OHIP?

Accepted Answer

E057 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E057 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to E057?

Accepted Answer

Codes related to E057 in the Schedule of Benefits include R594.

E057 – Revision/repair following previous rotator cuff surgery

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