E494Debridement (degenerative cartilage) - substantial debridement of 1 or more focal f laps of unstable degenerative articular cartilage causing mechanical symptoms, includes, when rendered, synovectomy, meniscal t rimming and/or chondroplasty add
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · KNEE
$299.00What this reference tells you
E494 identifies the Ontario insured service described as “Debridement (degenerative cartilage) - substantial debridement of 1 or more focal f laps of unstable degenerative articular cartilage causing mechanical symptoms, includes, when rendered, synovectomy, meniscal t rimming and/or chondroplasty add.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- 3.E494 or E498 are not eligible for payment for the debridement of cartilage flaps for the purpose of surgical visualization alone.
Before using this code
Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.