What is OHIP billing code E064?

E064 is "Open reduction of distal 1/3 ulnar fracture and/or repair of DRUJ dislocation", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E064 pay?

The current OHIP fee for E064 is $350.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill E064 to OHIP?

E064 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E064 claims against the Schedule of Benefits rules before submission.

What codes are related to E064?

Codes related to E064 in the Schedule of Benefits include F030, E063.

All codes

E064

E064 – Open reduction of distal 1/3 ulnar fracture and/or repair of DRUJ dislocation

OHIP Surgical Assists Code · Schedule of Benefits

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Open reduction of distal 1/3 ulnar fracture and/or repair of DRUJ dislocation, to F030

When to Use

Use E064 as an add-on code when performing an open reduction of a distal radius fracture (F030) that also requires an open reduction of the distal ulna or stabilization of the DRUJ.
Apply this code specifically for Galeazzi-type fracture patterns where the distal radius is fixed via F030 and the distal ulnar injury requires separate open surgical intervention.

Common Pitfalls

Billing E064 as a standalone procedure will result in rejection; it must be submitted on the same claim as F030.
Attempting to use E064 for Monteggia fracture-dislocations is an error, as these must be billed using the specific D and F series codes designated for that injury pattern.
Claiming E064 for closed reduction of the DRUJ is incorrect, as the code specifically requires an open reduction procedure.

Billing Tips

Always ensure the primary procedure F030 is billed alongside E064 to trigger the correct surgical fee structure and avoid claim rejection.
Document the specific fixation method used for the DRUJ or ulnar fracture to support the 'open reduction' requirement during potential post-payment audits.

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Provider Fee$350.00

Effective: April 1, 2026

Service Type

Surgery

Code Classes

Procedure

Open reduction of distal 1/3 ulnar fracture

Repair of distal radio-ulnar joint (DRUJ) dislocation

F030Radius - distal - open reduction, other than isolated radial styloid fracture E063Open reduction of AO/OTA Group C complete intra-articular distal radial fracture

For open reduction of the distal radio-ulnar joint associated with open reduction of the distal radius, see E064 in the Elbow/Forearm section.

Assistant and Anaesthesia units are not added by this code; they are determined by the base code F030.