Question 1

What is OHIP billing code E538?

Accepted Answer

E538 is "Metatarsophalyngeal interposition - each additional", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does E538 pay?

Accepted Answer

The current OHIP fee for E538 is $38.00, effective 2025-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill E538 to OHIP?

Accepted Answer

E538 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E538 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to E538?

Accepted Answer

Codes related to E538 in the Schedule of Benefits include R456.

E538 – Metatarsophalyngeal interposition - each additional

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