What is OHIP billing code E583?

E583 is "Amputation - each additional", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E583 pay?

The current OHIP fee for E583 is $94.60, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill E583 to OHIP?

E583 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E583 claims against the Schedule of Benefits rules before submission.

What codes are related to E583?

Codes related to E583 in the Schedule of Benefits include R608.

All codes

E583

E583 – Amputation - each additional

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

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This code represents the service for amputating an additional metacarpal or metatarsophalangeal joint. It is an add-on code and must be billed in conjunction with R608, which covers the first amputation. This fee is applicable for each subsequent amputation performed during the same surgical session.

When to Use

Use E583 for the second and any subsequent metacarpal or metatarsophalangeal joint amputations performed during the same operative session as the primary procedure R608.
Apply this code when performing multiple digit amputations at the metacarpal or metatarsophalangeal level to account for the additional surgical time and complexity beyond the first digit.

Common Pitfalls

Billing E583 without an associated R608 claim will result in an automatic rejection, as E583 is strictly an add-on code.
Attempting to use E583 for amputations at different anatomical levels (e.g., phalangeal amputations) is incorrect; ensure the procedure strictly involves the metacarpal or metatarsophalangeal joint.
Failure to document the specific number of additional joints amputated can lead to audit discrepancies if the number of E583 units does not match the operative report.

Billing Tips

Ensure the quantity field for E583 reflects the exact number of additional joints amputated beyond the first, rather than the total number of joints.
When applying age premiums or after-hours premiums (E409/E410), ensure they are calculated based on the total fee of the primary procedure (R608) and the additional units of E583 as per the Schedule of Benefits.

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Provider Fee$94.60

Effective: April 1, 2025

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