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E826
E826 – Percutaneous pinning
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E826 when performing percutaneous pinning for a fracture reduction coded under F005, F006, F009, or F016 to claim the 75% procedural premium.
- Apply this code specifically when the fixation is achieved percutaneously, distinguishing it from open reduction internal fixation (ORIF) procedures.
Common Pitfalls
- Attempting to bill E826 alongside E569 will result in a rejection, as these codes are mutually exclusive.
- Failing to link E826 to one of the four eligible primary procedure codes (F005, F006, F009, or F016) will cause the claim to be denied.
Billing Tips
- Ensure the primary procedure code is billed on the same claim as E826, as the premium is calculated as a percentage of the base fee for those specific codes.
Percentage Premium: 0.75%
This code applies a percentage increase to the base procedure fee
Provider Fee$0.01
Effective: August 1, 2018
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
PercentageIncrease
Code Classes
Musculoskeletal System Surgical Procedures, Other Premiums (including After Hours Procedure Premiums)
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