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E512

E512Additional midtarsal(s) to R696

OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

This fee is applicable for the arthrodesis (surgical fusion) of each additional midtarsal joint of the foot, beyond the first one covered by R696. This service is performed in the same operative session as R696. The parent procedure R696 includes any necessary neurovascular exploration and/or protection and tenolysis, as noted on page of the Schedule.

When to Use

  • Use E512 for each additional midtarsal joint arthrodesis performed beyond the first joint covered by the primary procedure code R696.
  • Apply this code when performing multi-joint midtarsal fusions during the same operative session as the primary R696 procedure.

Common Pitfalls

  • Billing E512 without a corresponding R696 claim on the same day will result in an automatic rejection.
  • Attempting to bill E512 in conjunction with R695 is prohibited, as R696 and R695 are mutually exclusive for the same patient on the same day.

Billing Tips

  • Ensure the number of units for E512 accurately reflects the total number of additional midtarsal joints fused beyond the first joint included in R696.
Provider Fee$175.80

Effective: April 1, 2026

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Musculoskeletal System Surgical Procedures

This code is an add-on to R696.

As per the note for R696, the service includes any neurovascular exploration and/or protection and tenolysis, when rendered.

The parent procedure R696 is not payable in addition to R695 for the same patient on the same day.

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