What is OHIP billing code P058?

P058 is "In-utero ligation of umbilical cord vessels", an OHIP Plastic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does P058 pay?

The current OHIP fee for P058 is $464.45, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill P058 to OHIP?

P058 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates P058 claims against the Schedule of Benefits rules before submission.

What codes are related to P058?

Codes related to P058 in the Schedule of Benefits include P050, P051, P052, P060, P053, P054, P055, P056.

All codes

P058

P058 – In-utero ligation of umbilical cord vessels

OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits

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In-utero ligation of umbilical cord vessels is a maternal-fetal surgical procedure. The surgeon's fee (suffix A) is a flat fee of $464.45. The assistant's fee (suffix B) is calculated using 8 base units plus time units. The anaesthetist's fee (suffix C) is calculated using 8 base units plus time units. This service is eligible for various after-hours and age-related premiums. Note: This procedure is payable in addition to J149 Ultrasonic Guidance and/or Z552 Diagnostic Laparoscopy, where applicable.

When to Use

Use P058 for the primary surgical ligation of umbilical cord vessels in a maternal-fetal procedure.
Bill P058 in conjunction with J149 when ultrasonic guidance is utilized for the procedure.
Bill P058 in conjunction with Z552 when a diagnostic laparoscopy is performed as part of the same operative session.

Common Pitfalls

Failure to document the specific necessity for a second assistant, as P058 is not on the pre-approved list for multiple assistants and requires a letter of justification.
Attempting to bill J149 when other ultrasonic guidance codes like J138 or J161 are performed during the same visit, which causes automatic rejection.
Incorrectly applying after-hours premiums (E409/E410) to the surgeon's fee when the procedure was elective and not delayed by an emergency.

Billing Tips

Ensure the claim includes the appropriate age-related premium (e.g., AGE_PREMIUM_UNDER_30D) if the patient meets the specific age criteria, as this applies to the surgeon, assistant, and anaesthetist fees.
When billing for the anaesthetist, remember to include relevant unit-based add-ons like E022C or E017C for ASA status to maximize the anaesthesia fee calculation.

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Provider Fee$464.45

Surgical Assistant Fee$100.08

Anaesthetist Fee$123.92

Non-Anaesthetist Fee$123.92

Effective: April 1, 2025

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