Question 1

What is OHIP billing code E059?

Accepted Answer

E059 is "Revision/repair following previous reconstruction of knee ligaments", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does E059 pay?

Accepted Answer

E059 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 E059 to OHIP?

Accepted Answer

E059 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E059 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to E059?

Accepted Answer

Codes related to E059 in the Schedule of Benefits include R542.

E059 – Revision/repair following previous reconstruction of knee ligaments

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