What is OHIP billing code E584?

E584 is "Application of plaster cast outside hospital or ICHSC", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E584 pay?

The current OHIP fee for E584 is $11.15, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill E584 to OHIP?

E584 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E584 claims against the Schedule of Benefits rules before submission.

What codes are related to E584?

Codes related to E584 in the Schedule of Benefits include F005, E558, F009, E504, F006, E503, F012, F013.

All codes

E584

E584 – Application of plaster cast outside hospital or ICHSC

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

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This fee code represents the application of a plaster cast performed 'outside hospital' as an add-on to various fracture and dislocation management services. As an 'add' code, it is not payable as a standalone service and must accompany one of the specified primary procedure codes for the hand, wrist, foot, or ankle. The setting restriction 'outside hospital' is a key requirement for payment.

When to Use

Use E584 when applying a plaster cast in your office following a closed reduction of a phalanx fracture (F005) or metacarpal fracture (F009).
Apply this code when performing rigid immobilization in the office for a wrist injury (F102) or scaphoid injury (F018) that requires a plaster cast.
Use E584 when managing a finger dislocation (D001) in an office setting where the application of a plaster cast is clinically indicated.

Common Pitfalls

Claiming E584 for services performed within a hospital or an Independent Health Facility (ICHSC) will result in automatic rejection.
Attempting to bill E584 as a standalone service without an eligible primary fracture or dislocation procedure code will trigger a rejection.
Confusing E584 with splinting codes; this code is specifically for plaster cast application and is not applicable for simple splinting or soft dressings.

Billing Tips

Always ensure the primary procedure code (e.g., F005, F102, D001) is billed on the same claim as E584 to satisfy the add-on requirement.
Verify that your facility location code on the claim reflects an office setting to align with the 'outside hospital' requirement of E584.

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Provider Fee$11.15

Effective: April 1, 2025

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