What is OHIP billing code E752?

E752 is "Repeat surgery on kidney", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E752 pay?

The current OHIP fee for E752 is $83.25, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill E752 to OHIP?

E752 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E752 claims against the Schedule of Benefits rules before submission.

All codes

E752

E752 – Repeat surgery on kidney

OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits

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This code provides an additional fee for a repeat surgery performed on a kidney. It is intended to be billed in conjunction with the primary surgical code for the kidney procedure. The key condition for its use is that the repeat surgery must occur at least 30 days after the previous surgery on the same kidney, acknowledging the potential for increased complexity in re-operative cases.

When to Use

Use E752 when performing a secondary surgical intervention on the same kidney at least 30 days after the initial procedure, such as a revision of a previous nephrectomy or pyeloplasty.
Apply this code when the repeat surgery is necessitated by complications or progression of the original condition, provided the 30-day threshold from the primary surgery date is met.

Common Pitfalls

Billing E752 for a re-operation occurring within 30 days of the primary surgery will result in a rejection, as this timeframe is typically considered part of the global surgical period.
Attempting to bill E752 without an accompanying primary surgical procedure code will trigger a rejection, as it is strictly an add-on fee and cannot stand alone.
Failing to verify the exact date of the previous kidney surgery often leads to audit risks; ensure the 30-day gap is calculated accurately from the date of the previous procedure.

Billing Tips

Always link E752 to the primary surgical code on the same claim to ensure the system recognizes the relationship between the base procedure and the repeat surgery premium.
If the repeat surgery qualifies for after-hours premiums like E409 or E410, ensure those are applied to the primary procedure fee, as E752 acts as a flat-fee modifier to the surgical encounter.

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Provider Fee$83.25

Effective: April 1, 2025

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