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E598

E598Patellar replacement or patelloplasty associated with knee arthroplasty

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

- with associated patellar replacement or patelloplasty, to R482, R483, R441, R248 or R244

When to Use

  • Use E598 as an add-on fee when performing a patellar resurfacing or patelloplasty during a primary or revision total knee arthroplasty (R482, R483, R441, R248, or R244).
  • Apply this code specifically when the patellar component is addressed in the same operative session as the primary knee replacement procedure.

Common Pitfalls

  • Billing E598 without an associated primary knee arthroplasty code (R482, R483, R441, R248, or R244) will result in an automatic rejection.
  • Attempting to bill E598 for a standalone patellar procedure that is not part of a comprehensive knee arthroplasty is incorrect and will be flagged during audit.

Billing Tips

  • Ensure the primary procedure code (e.g., R482) is listed first on the claim to establish the surgical context required for the E598 add-on.
Provider Fee$94.60

Effective: April 1, 2025

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Other

Code Classes

Other Premiums (including After Hours Procedure Premiums)

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