What is OHIP billing code E089?

E089 is "Periodic health visit - gender-specific add-on", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E089 pay?

The current OHIP fee for E089 is $0.01, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill E089 to OHIP?

E089 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E089 claims against the Schedule of Benefits rules before submission.

What codes are related to E089?

Codes related to E089 in the Schedule of Benefits include K131, K132, K017, K130.

All codes

E089

E089 – Periodic health visit - gender-specific add-on

OHIP Surgical Assists Code · Schedule of Benefits

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A gender-specific add-on code for a periodic health visit (K131 or K132) when rendered to a cisgender female or a transgender, nonbinary, gender fluid or agender patient.

When to Use

Use E089 as an add-on to K131 for a routine annual physical for a cisgender female patient aged 18-64.
Use E089 as an add-on to K132 for a routine annual physical for a patient aged 65 or older who identifies as transgender, nonbinary, gender fluid, or agender.
Apply this code whenever the base periodic health visit (K131 or K132) is performed in-person for eligible patients to ensure proper tracking of gender-specific care.

Common Pitfalls

Billing E089 for virtual care visits will result in rejection, as this code is strictly limited to in-person services.
Attempting to bill E089 with K017 or K130 will be rejected because the code is only valid for adult periodic health visits (K131 and K132).
Failure to document the patient's gender identity in the chart creates an audit risk, as this is a mandatory requirement for the add-on.

Billing Tips

Always link E089 to the same claim submission as the K131 or K132 to ensure the system recognizes the add-on relationship.
Verify that the patient's demographic profile in your EMR is updated to reflect their gender identity to support the clinical documentation requirement.

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Provider Fee$0.01

Effective: April 1, 2026

Service Type

Add-on

Code Classes

Premium

The patient’s gender identity must be documented in the patient’s medical record.

K131Periodic health visit - adult age 18 to 64 inclusive K132Periodic health visit - adult 65 years of age and older K017Periodic health visit - child K130Periodic health visit - adolescent

E089 is not listed as an eligible virtual care service in Appendix J, meaning it must be rendered in person.

The fee for E089 is $0.01, serving as a tracking or demographic indicator for gender-specific care during a periodic health visit.

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