All codes
E593
E593 – Acetabular reconstruction (extensive, including bone grafts)
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on code to be billed in addition to the primary revision total hip arthroplasty procedure, such as `R241`. It is for cases requiring extensive acetabular reconstruction that includes bone grafting, as specified on page of the Schedule.
When to Use
- Use E593 when performing a revision total hip arthroplasty (e.g., R241) that necessitates significant acetabular reconstruction involving structural or impaction bone grafting to address substantial bone loss.
- Apply this code when the complexity of the acetabular defect requires a specialized reconstruction technique beyond the standard components included in the primary revision fee.
Common Pitfalls
- Billing E593 without a primary revision procedure code like R241 will result in an automatic rejection as it is strictly an add-on code.
- Using E593 for standard acetabular component revision without documented extensive bone grafting is an audit risk, as the code specifically requires the inclusion of bone grafts.
- Confusing E593 with E589; ensure the clinical documentation clearly distinguishes between the specific reconstruction requirements of each code.
Billing Tips
- Ensure the operative report explicitly details the extent of the acetabular bone loss and the specific type of bone graft used to justify the 'extensive' requirement of E593.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.