E497

Pedicled vascularized bone graft, to R322 or R345

Fee

ComponentValue
Provider fee$526.40
Schedule and sources
Fee edition
October 1, 2026
Record effective
2025-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 592 / N12

- pedicled vascularized bone graft, to R322 or R345 ... add 526.40
Passages mentioning E497

PDF page 592 / N12

Bone - Pseudoarthrosis/non-union/avascular necrosis
# R321 Phalanx, metacarpal ...............................................................       6 392.90 7
# R322 Scaphoid................................................................................. 6 768.15 6
# R345 Carpal bone, other than scaphoid...........................................               6 260.75 6
# E497    - pedicled vascularized bone graft, to R322 or R345 ... add                              526.40
      Note:
      1.R322 and R345 must include fixation and a non-vascularized bone graft.
      2.E497 is payable in addition to R322 and R345 if a pedicled vascularized bone graft is used in
        addition to, or in place of a non-vascularized bone graft.
      3.F019 and Z279 rendered in conjunction with R322 and R345 are not eligible for payment.
    Bone - Deformity
      Osteotomy - phalanx
# R257 - terminal...............................................................................                  162.65          6
# R258 - middle proximal or metacarpal ...........................................                      6         289.80          7
# E591    - each additional........................................................... add                        158.65
Fee master record

Master, record 1194. Record Layout PDF, page 1.

E49720250401999999990000526400000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00005264000 / 526.4
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

Listed under Hand and Wrist, Reconstruction, Bone for pseudoarthrosis, non-union or avascular necrosis. It is an add-on for a pedicled vascularized bone graft, to R322 or R345.

Watch out for

R322 and R345 must include fixation and a non-vascularized bone graft.

Related codes

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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