What is OHIP billing code E569?

E569 is "Percutaneous pinning", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E569 pay?

E569 is a percentage premium: it adds 50% to the fee of the eligible service it is billed with, per the Ontario Schedule of Benefits.

How do I bill E569 to OHIP?

E569 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E569 claims against the Schedule of Benefits rules before submission.

What codes are related to E569?

Codes related to E569 in the Schedule of Benefits include E826.

All codes

E569

E569 – Percutaneous pinning

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

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E569 is a premium payable as an addition to a closed reduction fee. It increases the value of the closed reduction service by 50% to account for the percutaneous pinning procedure. Note: E569 is not eligible for payment with E826.

When to Use

Use E569 when performing percutaneous pinning to stabilize a fracture following a closed reduction procedure.
Apply this code when the surgical technique involves inserting pins through the skin under fluoroscopic guidance to maintain alignment after a closed reduction.

Common Pitfalls

Do not bill E569 in conjunction with E826, as this is a hard-coded restriction that will trigger an automatic rejection.
Ensure the base closed reduction fee is correctly identified, as E569 is a percentage-based premium that relies on the primary procedure code being valid and eligible.

Billing Tips

Submit E569 on the same claim as the primary closed reduction fee to ensure the 50% premium is calculated correctly against the base surgical fee.

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Percentage Premium: 0.5%

This code applies a percentage increase to the base procedure fee

Provider Fee$0.01

Effective: August 1, 2018

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