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E482
E482 – Soft tissue capsular release for contractures
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E482 when performing a soft tissue capsular release during a wrist arthroscopy (R682) to address joint contractures without bone resection.
- Use E482 during an elbow arthroscopy (R683) for soft tissue release when the procedure is limited to capsular structures rather than more extensive releases covered by other codes.
- Use E482 during a hip arthroscopy (R686) specifically for soft tissue capsular release, ensuring you do not bill E490 on the same date.
Common Pitfalls
- Billing E482 alongside E483 or E481 will trigger an automatic rejection due to the mutual exclusivity rules for wrist and elbow arthroscopy procedures.
- Attempting to bill E482 with E490 during a hip arthroscopy is a common error that results in payment denial for the secondary procedure.
- Submitting E482 for procedures that involve bone work or osteotomies is an audit risk, as this code is strictly for soft tissue capsular releases.
Billing Tips
- Ensure the primary arthroscopy code (R682, R683, or R686) is billed as the base procedure to allow the add-on E482 to process correctly.
- Verify that your operative report explicitly distinguishes the soft tissue release from any bone-related procedures to justify the use of E482 over more comprehensive surgical codes.
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