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E058
E058 – Revision/repair following previous glenohumeral joint surgery
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A 30% premium added to the fee for billing code R401 (open reduction, recurrent glenohumeral joint dislocation) for revision or repair following a previous glenohumeral joint surgery. This is a percentage increase and is claimed in addition to the primary procedure.
When to Use
- Use E058 when performing a revision of a failed Bankart or capsular shift procedure previously performed by another surgeon or yourself.
- Apply this premium when the surgical site requires extensive scar tissue lysis or hardware removal before the primary R401 procedure can be completed.
Common Pitfalls
- Do not bill E058 for primary surgeries; it is strictly reserved for cases where a previous glenohumeral procedure has already occurred.
- Avoid billing E058 if the primary procedure is not R401, as the premium is specifically linked to the R401 fee schedule.
Billing Tips
- Ensure the operative report explicitly details the findings of the previous surgery to justify the revision status during an audit.
- Submit E058 as a percentage add-on to the R401 claim to ensure the 30% premium is calculated correctly against the base fee.
Percentage Premium: 0.3%
This code applies a percentage increase to the base procedure fee
Provider Fee$0.01
Effective: July 1, 2013
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
PercentageIncrease
Code Classes
Other Premiums (including After Hours Procedure Premiums)
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