Fee
| Component | Value |
|---|---|
| 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
- Fee masterSchedule PDFOntario source page
- each additional........................................................... add 158.65
Passages mentioning E591
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 158.65Fee 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.
| Field | Raw / scale 10,000 |
|---|---|
| provider | 00001586500 / 158.65 |
| assistant | 00000000000 / 0 |
| specialist | 00000000000 / 0 |
| anaesthetist | 00000000000 / 0 |
| non anaesthetist | 00000000000 / 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.
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