E591

Each additional

Fee

ComponentValue
Provider fee$158.65
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

- each additional........................................................... add 158.65
Passages mentioning E591

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 1287. Record Layout PDF, page 1.

E59120250401999999990000158650000000000000000000000000000000000000000000000

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
provider00001586500 / 158.65
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

This is an add-on fee for each additional phalanx osteotomy in the Hand and Wrist section, under Reconstruction and Bone Deformity.

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