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E578

E578Interphalangeal dislocation - each additional

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

This code is payable for each additional interphalangeal dislocation reduction, following the initial reduction billed under D027.

When to Use

  • Use E578 for the second and any subsequent interphalangeal joint dislocations reduced during the same encounter as the primary reduction billed under D027.
  • Apply this code when multiple fingers are injured in a single trauma event and each requires a separate closed reduction procedure.

Common Pitfalls

  • Billing E578 as a standalone code without a corresponding D027 will result in an automatic rejection.
  • Attempting to use E578 for the initial joint reduction instead of D027 is a common error that leads to payment discrepancies.
  • Failing to specify the number of units for E578 when reducing three or more joints will result in underpayment.

Billing Tips

  • Ensure the total number of units for E578 matches the number of additional joints reduced beyond the first one billed under D027.
  • If performing reductions after hours, remember that the percentage-based premiums (E409 or E410) apply to the total fee of the D027 and the cumulative E578 units.
Provider Fee$10.25

Effective: April 1, 2025

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Musculoskeletal System Surgical Procedures

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