All codes
E589
E589 – Bone graft to acetabulum
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on fee payable for performing a bone graft to the acetabulum. This service is intended to be billed in addition to R241 (Revision total arthroplasty hip - acetabular or femoral).
When to Use
- Use E589 when performing an acetabular reconstruction during a revision total hip arthroplasty (R241) that requires structural or morselized bone grafting to address acetabular bone loss.
- Apply this code specifically when the graft is placed into the acetabular defect to facilitate component stability or bone ingrowth during the R241 procedure.
Common Pitfalls
- Billing E589 as a standalone procedure will trigger an automatic rejection because it is strictly an add-on code requiring R241 on the same claim.
- Attempting to bill E589 for simple bone grafting performed during a primary hip arthroplasty (e.g., R440) is an invalid use of this code, as it is restricted to revision scenarios.
- Confusing E589 with E593 (Bone graft to femur) will lead to audit discrepancies; ensure the graft site is explicitly documented as the acetabulum.
Billing Tips
- Always ensure the primary procedure R241 is listed on the same claim to satisfy the mandatory billing interaction requirement for E589.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.