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E581
E581 – Flexor tendon repair - each additional
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for each additional flexor tendon repair.
When to Use
- Use E581 for each additional flexor tendon repaired beyond the primary tendon already billed under R585.
- Apply this code when multiple flexor tendons are sutured during the same operative session, regardless of whether they are in the same or different digits.
Common Pitfalls
- Billing E581 without a primary R585 claim will result in an automatic rejection.
- Failing to document the specific number of tendons repaired can lead to audit recovery if the claim does not match the operative report.
- Attempting to bill E581 for extensor tendon repairs, which require different codes, will lead to claim adjustment.
Billing Tips
- Ensure the primary procedure R585 is billed first, followed by the appropriate number of units for E581 to reflect the total count of additional tendons repaired.
- If a separate incision is required for the additional tendon, ensure the operative report clearly justifies the separate approach to support the billing of additional units.
Provider Fee$181.55
Effective: April 1, 2026
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Musculoskeletal System Surgical Procedures
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