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E580

E580Suture extensor tendon - each additional

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

This code is used for the suture of each additional extensor tendon. It is an add-on code and must be billed in conjunction with `R578`, which covers the repair of the first tendon. This service is listed under the 'HAND AND WRIST' section of the Schedule of Benefits.

When to Use

  • Use E580 for the second and each subsequent extensor tendon repaired during the same operative session as the primary repair billed under R578.
  • Apply this code when multiple extensor tendons are identified and sutured through the same surgical incision site.

Common Pitfalls

  • Billing E580 as a standalone procedure; it must always be linked to an R578 claim to avoid automatic rejection.
  • Attempting to use E580 for flexor tendon repairs, which fall under different procedural codes in the Schedule of Benefits.
  • Failure to document the specific number of tendons repaired, which can lead to audit recovery if the claim is flagged for review.

Billing Tips

  • If a second incision is required to access additional tendons, review Surgical Preamble SP2 to determine if the additional repair should be billed as a separate primary procedure rather than using the E580 add-on code.
Provider Fee$119.40

Effective: April 1, 2026

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Musculoskeletal System Surgical Procedures

This is an add-on code to `R578`. The fee for E580 is for each additional extensor tendon sutured.

If additional tendon repair(s) requires a separate incision, bill according to Surgical Preamble .

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