Question 1

What is OHIP billing code E513?

Accepted Answer

E513 is "Breast mound creation by soft tissue for autogenous reconstruction", an OHIP Integumentary System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does E513 pay?

Accepted Answer

The current OHIP fee for E513 is $297.50, effective 2025-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill E513 to OHIP?

Accepted Answer

E513 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E513 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to E513?

Accepted Answer

Codes related to E513 in the Schedule of Benefits include R118, R125, R064, R008, R155, E529.

E513 – Breast mound creation by soft tissue for autogenous reconstruction

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